Christal Dawn Hadorn, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000023177 Issued in TN

Practice address

3469 New Highway 68
Madisonville, TN 37354-5148

Phone

(423) 442-3993

Fax

(423) 442-9468

NPI assigned

Apr 11, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1255838769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 NEW HIGHWAY 68",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373545148",
            "telephone_number": "423-442-3993",
            "fax_number": "423-442-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 NEW HIGHWAY 68",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373545148",
            "telephone_number": "423-442-3993",
            "fax_number": "423-442-9468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADORN",
        "first_name": "CHRISTAL",
        "middle_name": "DAWN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000023177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Garren, PHARM D
• Jaimie Georg
• Zachary John Gerber, DPT
• Alexi Gordon, DPT
• Mallory Gruenenfelder, SLP-CCC
• Tracie Thompson Hall, LCSW
• Cherie L Hansen, D.O.
• Robin Lee Harding, M.D.
• Leslie Ann Harris, PHARMD
• Matthew Harvey, LCSW

• Family Nurse Practitioner in Madisonville, TN
• Providers in Madisonville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.