Individual provider Active NPI

Christopher David Meyer, FNP

  • Family Nurse Practitioner
  • Limestone, TN
National Provider Identifier
1417633314
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
34215 Issued in TN
Practice address
105 Limestone Ruritan Road.
Limestone, TN 37681
Phone
(423) 257-8089
Fax
(423) 257-5179
NPI assigned
Jun 26, 2023
Last updated
Jun 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 34215 TN Primary
General Practice Registered Nurse 163WG0000X 242972 TN

Addresses

Primary practice location

105 Limestone Ruritan Road.
Limestone, TN 37681

Mailing address

PO Box 850
Rogersville, TN 37857-0850
Phone (423) 921-6975

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
I20230816000492 TN Practitioner - Nurse Practitioner 8921460437 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

Practice addresses (Care Compare)

4307 Hwy 68 S
Rogersville, TN 37857-3155
Phone (423) 921-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
242972TNMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Health Services Consortium of Upper East Tennessee Inc CurrentSince Aug 1, 2023 Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc CurrentSince Aug 1, 2023 Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc Current Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc Past Accepting new patients
Rural Health Services Consortium of Upper East Tennessee Inc Past Accepting new patients

Locations

105 Limestone Ruritan Rd
Limestone, TN 37681
Phone (423) 257-8089

4966 Highway 11W
Rogersville, TN 37857
Phone (423) 272-5600

Organizations & group practices 5

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1417633314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "ROGERSVILLE",
            "state": "TN",
            "postal_code": "378570850",
            "telephone_number": "423-921-6975",
            "fax_number": "423-921-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LIMESTONE RURITAN ROAD.",
            "city": "LIMESTONE",
            "state": "TN",
            "postal_code": "37681",
            "telephone_number": "423-257-8089",
            "fax_number": "423-257-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "34215",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "TN",
            "license": "242972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Limestone, TN

Sources for this page

Verify at the official NPI Registry.