GARY CROTTY FNP
NPI 1629010392
Nurse Practitioner in Knoxville, TN

Q: What is Gary Crotty's NPI number?

The NPI number for Gary Crotty is 1629010392. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Q: What is Gary Crotty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Crotty was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 10, 2006

1225 E WEISGARBER RD STE 200, KNOXVILLE, TN 37909(865) 584-4747(865) 212-3718 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gary Crotty Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY CROTTY FNP (NPI 1629010392) is an individual nurse practitioner in Knoxville, Tennessee, licensed in Tennessee (6215) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1629010392

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameGARY CROTTYCredential: FNP

Location Address1225 E WEISGARBER RD STE 200Knoxville, TN 37909-2675

Mailing AddressPo Box 635Powell, TN 37849-0635 · (865) 938-3627

Phone(865) 584-4747

Fax(865) 212-3718

Sole ProprietorNo

Enumeration DateJune 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629010392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TN · 6215

Definition

(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.

1225 E WEISGARBER RD STE 200, Knoxville, TN 37909

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Other Identifiers 2

Medicare ID-Type Unspecified3345951TN

Medicare ID-Type Unspecified3706636TN

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HANNAH R. SHANKLES-SPEIGHTS FNP

Nurse Practitioner (Family)