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MRS. SUSANNA RAE CROUCH APRN-BC FNP NPI 1376703405


NPI Information

NPI: 1376703405
Provider Name: MRS. SUSANNA RAE CROUCH, APRN-BC, FNP
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
2341 MCCALLIE AVENUE. PLAZA 3, STE. 406.
GASTROENTEROLOGY ASSOCIATES OF CHATTANOOGA, PC
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 648-8204
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MRS. Susanna Rae Crouch, APRN-BC, FNP is a gastroenterology internal medicine in Chattanooga, TN. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. MRS. Susanna Rae Crouch, APRN-BC, FNP NPI is 1376703405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2341 MCCALLIE AVENUE. PLAZA 3, STE. 406.
GASTROENTEROLOGY ASSOCIATES OF CHATTANOOGA, PC
CHATTANOOGA, TN
ZIP 37404-229
Phone: (423) 648-8204
Fax: (423) 493-1908

The enumeration date for this NPI number is 6/12/2008 and was last updated on 9/27/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily13252APNFNPTENNESSEENo
2207RG0100XInternal MedicineGastroenterology13252TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1103I503608OTHERTENNESSEEMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.