Individual provider Active NPI

Carolyn B Christian, RN

  • Community Health Registered Nurse
  • Church Hill, TN
National Provider Identifier
1295935831
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN0000095748 Issued in TN
Practice address
247 Silver Lake Rd
Church Hill, TN 37642-3516
Phone
(423) 357-5341
Fax
(423) 357-2231
NPI assigned
Jul 23, 2007
Last updated
Jul 23, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN0000095748 TN Primary

Addresses

Primary practice location

247 Silver Lake Rd
Church Hill, TN 37642-3516

Mailing address

247 Silver Lake Rd
PO Box 209
Church Hill, TN 37642-3516
Phone (423) 357-5341

Other identifiers 1

IdentifierTypeStateIssuer
RN0000095748OtherTNNURSING LICENSE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000095748TNMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1295935831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 SILVER LAKE RD",
            "address_2": "PO BOX 209",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376423516",
            "telephone_number": "423-357-5341",
            "fax_number": "423-357-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 SILVER LAKE RD",
            "city": "CHURCH HILL",
            "state": "TN",
            "postal_code": "376423516",
            "telephone_number": "423-357-5341",
            "fax_number": "423-357-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "CAROLYN",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "RN0000095748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "RN0000095748",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Church Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.