Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Broken Arrow

Q: What is the NPI number for Broken Arrow?

The NPI for Broken Arrow is 1720841042, a Type 2 (organization) record in the CMS NPPES registry.

Addiction Medicine (Family Medicine) Physician in Jefferson City, TN · enumerated 2024 · authorized official Crissy Shank, Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720841042

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Registry record

Entity type Organization (Type 2)

Legal business name Broken Arrow

Practice address 1009 E Highway 11 E, Jefferson City, TN, 37760

Phone (865) 935-0411

Enumeration date Jan 31, 2024

Last updated in NPPES Jan 31, 2024

Taxonomy & classification

207QA0401X Addiction Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Crissy Shank

Title Manager

Phone (931) 761-5732

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Broken Arrow?

The NPI for Broken Arrow is 1720841042, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Broken Arrow?

NPPES lists Crissy Shank (Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-01-31.