Individual provider Active NPI

Christie Layne Mase, APRN-FNP-C

  • Family Nurse Practitioner
  • Maynardville, TN
National Provider Identifier
1336923432
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34827 Issued in TN
Practice address
149 Durham Dr
Maynardville, TN 37807-2925
Phone
(865) 992-2221
Fax
(833) 908-2158
NPI assigned
Aug 21, 2023
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 34827 TN Primary
Registered Nurse 163W00000X 1099536 KY

Addresses

Primary practice location

149 Durham Dr
Maynardville, TN 37807-2925

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

Other practice location 1

2205 Jacksboro Pike
LA Follette, TN 37766-2904
Phone (423) 352-6500

Other practice location 2

1019 Cumberland Falls Hwy
Corbin, KY 40701-2735
Phone (606) 526-9005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218001723 TN Practitioner - Nurse Practitioner 1658720503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

149 Durham Dr
Maynardville, TN 37807-2925
Phone (865) 992-2221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1099536KYMDRegistered Nurse
34827TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastlake Medical, PLLC CurrentSince Nov 11, 2023 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 9, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Feb 9, 2024 Accepting new patients
Summit Medical Group PLLC PastSince Mar 24, 2024 Accepting new patients

Locations

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

2205 Jacksboro Pike
La Follette, TN 37766
Phone (423) 352-6500

2205 Jacksboro Pike
Ste 6
La Follette, TN 37766
Phone (423) 352-6500

502 W Central Ave
Ste 2
La Follette, TN 37766
Phone (423) 201-9799

149 Durham Dr
Maynardville, TN 37807
Phone (865) 992-2221

Interoperability endpoints

  • Direct secure messaging: christie.mase.1@20785.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1336923432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "865-381-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DURHAM DR",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378072925",
            "telephone_number": "865-992-2221",
            "fax_number": "833-908-2158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Jacksboro Pike",
            "address_purpose": "LOCATION",
            "city": "LA Follette",
            "state": "TN",
            "postal_code": "377662904",
            "country_code": "US",
            "telephone_number": "423-352-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1019 Cumberland Falls Hwy",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407012735",
            "country_code": "US",
            "telephone_number": "606-526-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASE",
        "first_name": "CHRISTIE",
        "middle_name": "LAYNE",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34827",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1099536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maynardville, TN

Sources for this page

Verify at the official NPI Registry.