Individual provider Active NPI

Jessica Dawn Christie, C.N.A

  • Nurse's Aide
  • McMinnville, TN
National Provider Identifier
1427337609
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
94961 Issued in TN
Practice address
1401 Sparta St
McMinnville, TN 37110-1301
Phone
(931) 473-8468
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
94961TNMDNurse's Aide

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 94961 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

1401 Sparta St
McMinnville, TN 37110-1301

Mailing address

11998 Nashville Hwy
McMinnville, TN 37110-5150
Phone (931) 205-3217

Other names 1

NPPES NPI Registry
  • Jessica Dawn Smith Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2011.

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1427337609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11998 NASHVILLE HWY",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371105150",
            "telephone_number": "931-205-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPARTA ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101301",
            "telephone_number": "931-473-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "C.N.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TN",
            "license": "94961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SMITH",
            "middle_name": "DAWN",
            "credential": "C.N.A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McMinnville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; 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.