Christa Taylor, CMA (AAMA)
Individual provider Active NPI Vascular Sonography Radiologic Technologist · Andersonville, TN
NPI 1295136018 · NPPES record last updated Sep 11, 2014
Key facts
- NPI
- 1295136018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Sonography Radiologic Technologist 2471V0105X
- Practice address
- 153 Alley Rd
Andersonville, TN 37705-3910 - Phone
- (865) 603-1738
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Medical Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divinity Health Diagnostics,LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Sonography Radiologic Technologist | 2471V0105X | Yes |
Addresses
Primary practice location
153 Alley Rd
Andersonville, TN 37705-3910
Mailing address
153 Alley Rd
Andersonville, TN 37705-3910
Other names
- Connie Beaty
Other providers in Andersonville, TN
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- TCB Home Services
- Ut Lifestar, LLC
- Darla L Warfield
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- Ashley C Wetters
All providers in Andersonville, TN · Vascular Sonography Radiologic Technologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.