Individual provider Active NPI

Victoria Rosca Lewis

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1831805530
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33054 Issued in TN
Practice address
2147 Wilma Rudolph Blvd Ste 102
Clarksville, TN 37040-6798
Phone
(931) 241-4115
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33054 TN Primary

Addresses

Primary practice location

2147 Wilma Rudolph Blvd Ste 102
Clarksville, TN 37040-6798

Mailing address

1866 Shield Dr
Clarksville, TN 37043-2158
Phone (419) 573-2001

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
I20230329002142 TN Practitioner - Nurse Practitioner 8921472143 Reassigns benefits to 1 organization

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
Crossroads Urgent Care PLLCGroup PAC ID 8325117484, 181 clinicians

Practice addresses (Care Compare)

1193 Fort Campbell Blvd
Suite a
Clarksville, TN 37042-8881
Phone (931) 557-3026

1690 Fort Campbell Blvd
Clarksville, TN 37042-7531
Phone (931) 648-4838

2224 Madison St
Suite B
Clarksville, TN 37043-8043
Phone (931) 503-7015

2445 Memorial Blvd
Suite C
Murfreesboro, TN 37129-5156
Phone (615) 217-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Urgent Care PLLC Family CurrentSince Mar 1, 2023 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Mar 1, 2023 Accepting new patients

Locations

2147 Wilma Rudolph Blvd
Ste 102
Clarksville, TN 37040
Phone (931) 241-4115

2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900

30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1831805530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 SHIELD DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432158",
            "telephone_number": "419-573-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 WILMA RUDOLPH BLVD STE 102",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406798",
            "telephone_number": "931-241-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCA LEWIS",
        "first_name": "VICTORIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2022-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.