Crystal Ann Rockholt, BSN RN MSNFNP-BC
Individual provider Active NPI Family Nurse Practitioner · Spring Hill, TN
NPI 1982943528 · NPPES record last updated Jan 13, 2022
Key facts
- NPI
- 1982943528
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 17353 (TN)
- Practice address
- 3001 Reserve Blvd
Suite 200
Spring Hill, TN 37174-3088 - Phone
- (931) 499-7244
- Fax
- (931) 499-7243
- NPI assigned
- Feb 1, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130830000464 | TN | Practitioner - Nurse Practitioner | 7012150550 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76537 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RHC Group PLLC | Current |
Accepting new patients | |
| Advanced Diagnostic Imaging PC | Current |
Accepting new patients | |
| RHC Group PLLC | Current |
Accepting new patients | |
| Advanced Diagnostic Imaging, PC | Current |
Accepting new patients |
Locations
2557 Highway 41 S
Greenbrier, TN 37073
Phone (615) 643-4534
4230 Harding Pike
Ste 400
Nashville, TN 37205
Phone (615) 292-5191
3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146
3001 Reserve Blvd
Ste 200
Spring Hill, TN 37174
Phone (931) 499-7244
Interoperability endpoints
- crystal.rockholt@hca1.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 76537 | TN | |
| Family Nurse Practitioner | 363LF0000X | 17353 | TN | Yes |
Addresses
Primary practice location
3001 Reserve Blvd
Suite 200
Spring Hill, TN 37174-3088
Mailing address
3001 Reserve Blvd
Suite 200
Spring Hill, TN 37174-3088
Phone (931) 499-7244
Other names
- Miss Crystal Ann Clinard
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | CRYSTAL.ROCKHOLT@hca1.eclinicaldirectplus.com |
Other providers in Spring Hill, TN
- Brittany Roberts
- Chad Roberts
- Tracy Lynn Roberts
- Richard L Robinette
- Juleta Marie Roby
- Alison Lane Rodgers
- Jason Joseph Roedig
- Patricia A. Roth
- Samantha Rumbolt
- Tracey-Leigh Rupp
All providers in Spring Hill, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 13, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.