Individual provider Active NPI

Crystal Leann Tinch, FNP-C

  • Family Nurse Practitioner
  • Lenoir City, TN
National Provider Identifier
1790417624
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
31892 Issued in TN
Practice address
1018 Highway 321 N
Lenoir City, TN 37771-6683
Phone
(865) 986-4450
Fax
(833) 908-2124
NPI assigned
Jun 29, 2022
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 31892 TN
Family Nurse Practitioner 363LF0000X 31892 TN Primary

Addresses

Primary practice location

1018 Highway 321 N
Lenoir City, TN 37771-6683

Mailing address

PO Box 26194
Belfast, ME 04915-2012
Phone (865) 584-4747

Other practice location 1

1204 Frye St
Athens, TN 37303
Phone (423) 745-0434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220824001949 TN Practitioner - Nurse Practitioner 3870976855 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians
Optimal Medical PLLCGroup PAC ID 6103275987, 4 clinicians

Practice addresses (Care Compare)

1018 Hwy 321 N
Lenoir City, TN 37771-6683
Phone (865) 986-4450

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37849-4016
Phone (865) 938-3627

1275 Dick Lonas Rd
Knoxville, TN 37909-1326

201 E Emory Rd
Powell, TN 37849-4016
Phone (865) 938-3627

8906 Kingston Pike
Knoxville, TN 37923-5003
Phone (865) 690-4200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Health PLLC CurrentSince Oct 27, 2025 Accepting new patients
Summit Medical Group, PLLC Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Optimal Medical PLLC CurrentSince Oct 27, 2025 Accepting new patients
Cogent Healthcare of Tennessee, PC CurrentSince May 6, 2023 Accepting new patients
Optimal Health PLLC Nurse Practitioner CurrentSince Oct 27, 2025 Accepting new patients
Renuven Health Partners of Georgia PC PastSince Jul 1, 2022 Accepting new patients

Locations

1204 Frye St
Athens, TN 37303
Phone (423) 745-0434

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

8874 Kingston Pike
Knoxville, TN 37923
Phone (865) 690-4200

8874 Kingston Pike
Ste 202
Knoxville, TN 37923
Phone (865) 691-9055

8906 Kingston Pike
Knoxville, TN 37923
Phone (865) 690-4200

1018 Highway 321 N
Lenoir City, TN 37771
Phone (865) 986-4450

Interoperability endpoints

  • Direct secure messaging: crystal.tinch.1@20785.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1790417624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26194",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152012",
            "telephone_number": "865-584-4747",
            "fax_number": "865-584-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 HIGHWAY 321 N",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377716683",
            "telephone_number": "865-986-4450",
            "fax_number": "833-908-2124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 Frye St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "37303",
            "country_code": "US",
            "telephone_number": "423-745-0434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TINCH",
        "first_name": "CRYSTAL",
        "middle_name": "LEANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "31892",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir City, TN

Sources for this page

Verify at the official NPI Registry.