Individual provider Active NPI

Christina Kent Nunnally, DNP, FNP-BC

  • Family Nurse Practitioner
  • Ripley, MS
National Provider Identifier
1013167352
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R870040 Issued in MS
Practice address
1009 City Ave N Ste C
Ripley, MS 38663-1414
Phone
(662) 837-2245
Fax
(662) 837-2246
NPI assigned
Sep 23, 2008
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R870040 MS Primary

Addresses

Primary practice location

1009 City Ave N Ste C
Ripley, MS 38663-1414

Mailing address

102 Kitchens CV
Ripley, MS 38663-6815
Phone (662) 837-2098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081219000259 MS Practitioner - Nurse Practitioner 8426110776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tippah County HospitalGroup PAC ID 5193746709, shared by 6 NPIs, 24 clinicians

Practice addresses (Care Compare)

1005 -A City Ave N
Ripley, MS 38663-1414
Phone (662) 837-9221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R870040MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tippah County Hospital CurrentSince Oct 1, 2023 Accepting new patients
Tippah County Hospital Current Accepting new patients
North Mississippi Primary Health Care, Inc. CurrentSince Sep 16, 2008 Accepting new patients
Tippah County Hospital CurrentSince Oct 1, 2023 Accepting new patients
Tippah County Hospital CurrentSince Oct 1, 2023 Accepting new patients
North Mississippi Primary Health Care, Inc. Current Accepting new patients
North Mississippi Primary Health Care, Inc. CurrentSince Sep 16, 2008 Accepting new patients
Tippah County Hospital Past Accepting new patients

Locations

1005 City Ave N
Ripley, MS 38663
Phone (601) 837-9221

1005 City Ave N
#A
Ripley, MS 38663
Phone (662) 837-2202

1009 City Ave N
Ste C
Ripley, MS 38663
Phone (662) 837-2245

Interoperability endpoints

  • Direct secure messaging: clinical@nmphc.directbygreenway.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/tippah-ba3c06de

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1013167352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 KITCHENS CV",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386636815",
            "telephone_number": "662-837-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 CITY AVE N STE C",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631414",
            "telephone_number": "662-837-2245",
            "fax_number": "662-837-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNNALLY",
        "first_name": "CHRISTINA",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R870040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, MS

Sources for this page

Verify at the official NPI Registry.