Individual provider Active NPI

Mary Ann Croley, FNP

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1871748137
Registry record updated Nov 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13783 Issued in TN
Practice address
201 Dover Rd
Clarksville, TN 37042-4155
Phone
(931) 552-4495
NPI assigned
Nov 28, 2008
Last updated
Nov 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2008

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 13783 TN Primary

Addresses

Primary practice location

201 Dover Rd
Clarksville, TN 37042-4155

Mailing address

201 Dover Rd
Clarksville, TN 37042-4155
Phone (931) 552-4495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
13783TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227830400000",
    "number": "1871748137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DOVER RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424155",
            "telephone_number": "931-552-4495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DOVER RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424155",
            "telephone_number": "931-552-4495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROLEY",
        "first_name": "MARY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-28",
        "last_updated": "2008-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2008; 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.