Individual provider Active NPI

Christine Newberry Malone, MASTER DEGREE IN NUR

  • Home Health Registered Nurse
  • Cordova, TN
National Provider Identifier
1295007631
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
111005263RN(124095) Issued in TN
Practice address
2365 Belgian CV S Apt 203
Cordova, TN 38016-0565
Phone
(901) 753-9428
NPI assigned
Feb 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 111005263RN(124095) TN Primary
Homemaker 376J00000X 1110005263RN(124095) TN
Nurse's Aide 376K00000X 111005263RN(124095) TN

Addresses

Primary practice location

2365 Belgian CV S Apt 203
Cordova, TN 38016-0565

Mailing address

2365 Belgian CV S Apt 203
Cordova, TN 38016-0565
Phone (901) 753-9428

Other names 1

  • Christine Newberry Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111005263RN(124095)TNMDHome Health Registered Nurse
1110005263RN(124095)TNMDHomemaker

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1295007631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2365 BELGIAN CV S APT 203",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160565",
            "telephone_number": "901-753-9428",
            "fax_number": "901-753-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 BELGIAN CV S APT 203",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160565",
            "telephone_number": "901-753-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "CHRISTINE",
        "middle_name": "NEWBERRY",
        "name_prefix": "Miss",
        "credential": "MASTER DEGREE IN NUR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TN",
            "license": "111005263RN(124095)",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "TN",
            "license": "1110005263RN(124095)",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TN",
            "license": "111005263RN(124095)",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "NEWBERRY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.