NPIMap

Individual provider Active NPI

Christina Cole Chumley, APRN

  • Family Nurse Practitioner
  • Providence, KY
National Provider Identifier
1043640659
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008400 Issued in KY
Practice address
121 E Main St
Providence, KY 42450-1268
Phone
(270) 667-2023
Fax
(270) 667-7518
NPI assigned
Nov 18, 2013
Last updated
Nov 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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 3008400 KY Primary

Addresses

Primary practice location

121 E Main St
Providence, KY 42450-1268

Mailing address

PO Box 1079
Henderson, KY 42419-1079
Phone (270) 827-0353

Other names 1

  • Christina Cole Branson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131216001614 KY Practitioner - Nurse Practitioner 9234366386 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deaconess Clinic IncGroup PAC ID 3375610116, 411 clinicians

Practice addresses (Care Compare)

471 Klutey Park Plaza Dr
Henderson, KY 42420-3347
Phone (270) 830-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3008400KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Union County Hospital, Inc CurrentSince Oct 1, 2021 Accepting new patients
Deaconess Clinic Inc CurrentSince Jul 1, 2020 Accepting new patients
Methodist Health, Inc. Family CurrentSince Aug 1, 2017 Accepting new patients
Deaconess Union County Hospital, Inc CurrentSince Oct 1, 2021 Accepting new patients
Deaconess Clinic, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Methodist Health, Inc. Family Current Accepting new patients
Deaconess Clinic, Inc Family Current Accepting new patients
Methodist Health, Inc. Family Past Accepting new patients

Locations

1355 US Highway 41A S
Dixon, KY 42409
Phone (270) 639-9101

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

1413 N Elm St
Ste 201
Henderson, KY 42420
Phone (270) 827-8662

1413 N Elm St
Ste 204
Henderson, KY 42420
Phone (270) 830-9973

471 Klutey Park Plaza Dr
Henderson, KY 42420
Phone (270) 830-6100

1284 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-2323

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

Interoperability endpoints

  • Direct secure messaging: cchumley209747@direct.deaconess.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1043640659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1079",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424191079",
            "telephone_number": "270-827-0353",
            "fax_number": "270-827-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E MAIN ST",
            "city": "PROVIDENCE",
            "state": "KY",
            "postal_code": "424501268",
            "telephone_number": "270-667-2023",
            "fax_number": "270-667-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUMLEY",
        "first_name": "CHRISTINA",
        "middle_name": "COLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "BRANSON",
            "middle_name": "COLE",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Providence, KY

Sources for this page

Verify at the official NPI Registry.