Active NPI
Cris Hightower, RN,, CCM
- Case Manager/Care Coordinator
- Fort Gordon, GA
National Provider Identifier
1326438300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- RN167612
- Practice address
- 300 Hospital Road
Dwight D. Eisenhower Army Medical Center
Fort Gordon, GA 30905 - Phone
- (706) 787-8624
- Fax
- (706) 787-8229
- NPI assigned
- Jan 29, 2015
- Last updated
- Feb 21, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN167612 | GA | |
| Case Manager/Care Coordinator | 171M00000X | RN167612 | GA | Primary |
Addresses
Primary practice location
300 Hospital Road
Dwight D. Eisenhower Army Medical Center
Fort Gordon, GA 30905
Mailing address
300 Hospital Road
Dwight D. Eisenhower Army Medical Center
Fort Gordon, GA 30905
Phone (706) 787-8624
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN167612 | GA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519171200000",
"number": "1326438300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HOSPITAL ROAD",
"address_2": "DWIGHT D. EISENHOWER ARMY MEDICAL CENTER",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-8624",
"fax_number": "706-787-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HOSPITAL ROAD",
"address_2": "DWIGHT D. EISENHOWER ARMY MEDICAL CENTER",
"city": "FORT GORDON",
"state": "GA",
"postal_code": "30905",
"telephone_number": "706-787-8624",
"fax_number": "706-787-8229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGHTOWER",
"first_name": "CRIS",
"credential": "RN,, CCM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2018-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN167612",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "GA",
"license": "RN167612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.