Crossroads Addiction Services, Inc

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

CROSSROADS ADDICTION SERVICES, INC

Practice address

1420 SW Saint Lucie West Blvd Ste 106
Port St Lucie, FL 34986-1709

Phone

(772) 242-5408

NPI assigned

Dec 31, 2016

Last updated

Feb 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Theresa A Biemer, PA-CNPI 1982716353

Title

President

Phone

(772) 242-5408

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa A Biemer, P.A-C

  • Physician Assistant
  • Port St Lucie, FL
  • NPI 1982716353
  Authorized official Same address or phone

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

{
    "created_epoch": "1483142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1841735750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SW SAINT LUCIE WEST BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861709",
            "telephone_number": "772-242-5408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SW SAINT LUCIE WEST BLVD STE 106",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861709",
            "telephone_number": "772-242-5408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS ADDICTION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-31",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "BIEMER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-242-5408",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DIRECTOR PROVIDER NPI-M. ADLEN",
            "identifier": "1477580876",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI-T. BIEMER",
            "identifier": "1982716353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NPI-V. FERRARA",
            "identifier": "1861729824",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie A Cromer, DDS
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• Ty Crouch, DC
• Naomi J Crouse
• Alicha Tairani Crucen

• Addiction Medicine (Family Medicine) Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Addiction Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.