ELIZABETH A CRUTTENDEN (NPI# 1326271370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326271370 |
| Entity Type | Individual |
| Full Name | ELIZABETH A CRUTTENDEN |
| Credential | NP-C |
| Practice Address |
421 Old Riceville Rd Ste 2 Athens TN 37303-3074 |
| Practice Telephone | 4237448755 |
| Practice Fax Number | 4237448568 |
| Mailing Telephone | 4237448755 |
| Mailing Fax Number | 4237448568 |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN0000014336 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
421 OLD RICEVILLE RD STE 2 |
| City | ATHENS |
| State | TN |
| Zip Code | 37303-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619920303 | Kimberly Thompson Breeden | Pediatrics | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2006-05-17 |
| 1942767264 | Simon Bessette | Physician Assistant | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2019-02-22 |
| 1811368830 | Regena Shelton | Nurse Practitioner | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2015-10-16 |
| 1659670412 | Covenant Pediatrics, Pllc | Clinic/Center | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2011-03-19 |
| 1275764847 | Constance F Cowherd | Nurse Practitioner | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2009-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242529 | Kelley Anne Seekins | Specialist/Technologist | 204 E. College St., Athens, TN 37303 | 2020-07-22 |
| 1699237511 | Athens Family Dental | Clinic/Center | 746 Tell Street, Athens, TN 37303 | 2019-04-01 |
| 1881185916 | Agnes Ebedi | Counselor | 744 Tell St Ste 100, Athens, TN 37303 | 2018-05-24 |
| 1679002059 | Ashley Y Davis | Nurse Practitioner | 909 Congress Pkwy N, Athens, TN 37303 | 2017-06-08 |
| 1417312521 | Wanda J Dennis | Case Manager/Care Coordinator | 708 Virginia Avenue, Athens, TN 37303 | 2015-12-17 |
| 1376975276 | Jeffrey Allen Hanson | Occupational Therapy Assistant | 1204 Frye Street, Athens, TN 37303 | 2013-08-01 |
| 1043596794 | Jennifer Donahoo | Pharmacist | 1302 Congress Parkway S., Athens, TN 37303 | 2011-10-26 |
| 1093009938 | Leah Calla | Registered Nurse | 393 County Rd 554, Athens, TN 37303 | 2011-06-08 |
| 1407038201 | Carl Quinn Osborn | Orthopaedic Surgery | 627 Congress Parkway South, Athens, TN 37303 | 2007-12-04 |
| 1972791903 | Angela Colleen Stokes | Nurse Practitioner | 1805 Ingleside Dr, Athens, TN 37303 | 2007-10-03 |
| Find all providers in zip 37303 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669622320 | Robin Dollar St Pierre | Nurse Practitioner | 22136 Medical Village Drive, Athens, AL 35613 | 2008-09-30 |
| 1467078840 | Jessica L Acker | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2020-06-22 |
| 1295366987 | Kala Grant | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2020-01-31 |
| 1144874165 | Elizabeth Thompson | Nurse Practitioner | 119 Epperson St, Athens, TN 37303-3478 | 2019-07-29 |
| 1710427281 | Michelle Hoffmann | Nurse Practitioner | 101 Fitness Way, Suite 2100, Athens, AL 35611-2480 | 2017-03-03 |
| 1265980213 | Brittany Rogers | Nurse Practitioner | 675 College Ave, Athens, GA 30601-2635 | 2016-09-20 |
| 1578921110 | Dana Kennedy | Nurse Practitioner | 824 Southpark Cir, Athens, TX 75752-6943 | 2016-02-09 |
| 1811368830 | Regena Shelton | Nurse Practitioner | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2015-10-16 |
| 1760760235 | Audri Mcbay Ragasa | Nurse Practitioner | 707 Us Highway 31 S, Ste D, Athens, AL 35611-3619 | 2011-08-01 |
| 1275764847 | Constance F Cowherd | Nurse Practitioner | 421 Old Riceville Rd Ste 2, Athens, TN 37303-3074 | 2009-07-30 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on ELIZABETH A CRUTTENDEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.