CROSSROADS URGENT CARE PLLC (NPI# 1578823506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578823506 |
| Entity Type | Organization |
| Organization Name | CROSSROADS URGENT CARE PLLC |
| Other Organization Name | WELLNOW URGENT CARE OF PORTLAND |
| Practice Address |
121 Village Drive Suite 101 Portland TN 37148-1418 |
| Mailing Address |
30 Burton Hills Boulevard Suite 576 Nashville TN 37215-6183 |
| Practice Telephone | 6153252226 |
| Practice Fax Number | 6153258885 |
| Mailing Telephone | 6159882000 |
| Mailing Fax Number | 6158911668 |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-09-19 |
| Authorized Official Name | GAIL BERRY (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 6159882012 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| WellNow Urgent Care of Portland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760742712 | Crossroads Urgent Care Pllc | Clinic/Center | 7050 Highway 70, Bellevue, TN 37221-2211 | 2012-05-24 |
| 1356601314 | Crossroads Urgent Care Pllc | Clinic/Center | 199 Henslee Drive, Dickson, TN 37055-2076 | 2012-05-24 |
| 1740540772 | Crossroads Urgent Care Pllc | Clinic/Center | 10644 Concord Road, Brentwood, TN 37027-8811 | 2012-05-24 |
| 1811257843 | Crossroads Urgent Care Pllc | Clinic/Center | 711 East Main Street, Suite 107, Hendersonville, TN 37075-2741 | 2012-05-24 |
| 1528328564 | Crossroads Urgent Care Pllc | Clinic/Center | 2445 Memorial Boulevard, Suite C, Murfreesboro, TN 37219-5156 | 2012-05-24 |
| 1063772002 | Crossroads Urgent Care Pllc | Clinic/Center | 2662 Memorial Boulevard, Springfield, TN 37172-3925 | 2012-05-24 |
| 1437194222 | Crossroads Urgent Care Pllc | Family Medicine | 2021 Hamilton Place Blvd Ste G, Chattanooga, TN 37421-6046 | 2006-06-17 |
| 1720460595 | Crossroads Urgent Care Pllc | Clinic/Center | 2395 Lake Rd, Dyersburg, TN 38024-1831 | 2015-06-29 |
| 1114287174 | Crossroads Urgent Care Pllc | Clinic/Center | 491 Sage Road, Suite 800, White House, TN 37188-9362 | 2012-05-24 |
| 1366644361 | Crossroads Urgent Care Pllc | Clinic/Center | 2445 Memorial Blvd, Murfreesboro, TN 37129-5155 | 2007-06-01 |
| Street Address |
121 VILLAGE DRIVE SUITE 101 |
| City | PORTLAND |
| State | TN |
| Zip Code | 37148-1418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427608645 | Carehere LLC | Family Medicine | Carehere Clinic- Nasg Portland, Tn, 160 Kirby Drive, Portland, TN 37148 | 2019-09-19 |
| 1710494117 | Lydia Ellen Hicks | Registered Nurse | 214 W. Longview Drive, Portland, TN 37148 | 2018-01-08 |
| 1487903696 | Jennifer Leigh Toney | Registered Nurse | 101 Maurice Ct, Portland, TN 37148 | 2012-09-04 |
| 1366712770 | Pamela Poghen | Registered Nurse | 235 Hwy 52 E, Portland, TN 37148 | 2012-01-03 |
| 1003090036 | State of Tennessee | Public Health or Welfare | 214 West Longview Drive, Portland, TN 37148 | 2007-12-27 |
| 1437256930 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 304 A S Broadway Ste A, Portland, TN 37148 | 2006-09-20 |
| 1568494243 | Melissa R Cook | Nurse Practitioner | 932-b South Broadway, Portland, TN 37148 | 2006-07-06 |
| 1225200306 | Lisa Nazarenus | Nurse Practitioner | 307 S Broadway, Portland, TN 37148 | 2008-03-28 |
| 1770523748 | Jason A Bruns | Physical Therapist | 121 Village Dr, 103, Portland, TN 37148 | 2006-06-07 |
| 1841350196 | Edward Freeman Kirkpatrick Jr. | Dentist | 307 Reed St, Portland, TN 37148-0410 | 2006-12-09 |
| Find all providers in zip 37148 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1427537844 | Mardin Sabah Sabir | Nurse Practitioner | 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 | 2018-08-07 |
| 1174039325 | Gina Nicole Dasilva | Nurse Practitioner | 50 County Way, Portland, ME 04102-2755 | 2017-12-26 |
| 1609396746 | Maggie Michele Sexton | Nurse Practitioner | 2311 Nw Northrup St Ste 100, Portland, OR 97210-2912 | 2017-06-20 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1134585268 | Kathleen Klunk | Nurse Practitioner | 1400 Ne Alberta St, Portland, OR 97211-5044 | 2016-01-05 |
| 1427447143 | At Home Primary Care LLC. | Nurse Practitioner | 6400 Se Lake Rd # 420, Portland, OR 97222-2129 | 2015-01-19 |
| 1053753921 | Frederick Donald Watters | Nurse Practitioner | 66 Sherman St Apt 3, Portland, ME 04101 | 2013-07-22 |
| 1881033439 | Nicole M Baxter | Nurse Practitioner | 2187 Sw Main St Ste 101, Portland, OR 97205-1123 | 2013-06-17 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
| Find all providers in PORTLAND | ||||
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| 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.