Active NPI
Jessica Dawn Christie, C.N.A
- Nurse's Aide
- McMinnville, TN
National Provider Identifier
1427337609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 94961
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 94961 | TN | MD | Nurse's Aide |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 94961 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.