Individual provider Active NPI

Christina Lee Mountain, D.O.

  • Family Medicine Physician
  • Mount Juliet, TN
National Provider Identifier
1437449766
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO0000002939 Issued in TN
Practice address
5002 Crossings Cir
# 180
Mount Juliet, TN 37122-8471
Phone
(615) 515-9111
Fax
(615) 758-3791
NPI assigned
Apr 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 0102203650 VA
Family Medicine Physician 207Q00000X DO0000002939 TN Primary

Addresses

Primary practice location

5002 Crossings Cir
# 180
Mount Juliet, TN 37122-8471

Mailing address

501 Great Circle Rd
Ste. 200
Nashville, TN 37228-1317
Phone (615) 222-7685

Other identifiers 3

IdentifierTypeStateIssuer
6064343OtherTNBCBST
Q020395MedicaidTN
P01637851OtherTNRR MEDICARE

Other names 1

  • Christina Lee Harner Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413001733 TN Practitioner - Family Practice 9436377157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Thomas Medical PartnersGroup PAC ID 1557269354, 588 clinicians

Practice addresses (Care Compare)

108 Providence TRL
Mt Juliet, TN 37122-6386
Phone (615) 466-0041

300 20TH Ave N
Nashville, TN 37203-2131
Phone (615) 284-1400

Hospital & facility affiliations

  • Tristar Summit Medical Center Hospital, Hermitage, TN, CCN 440150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2939TNMDChiropractor
DO0000002939TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Family Medicine CurrentSince Apr 1, 2016 Accepting new patients

Locations

108 Providence Trl
Mt Juliet, TN 37122
Phone (615) 466-0041

5002 Crossings Cir
Ste 180
Mt Juliet, TN 37122
Phone (615) 583-5151

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

300 20th Ave N
Fl 9
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: christina.mountain.1@7654.direct.athenahealth.com

Organizations & group practices 1

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1437449766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD",
            "address_2": "STE. 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-222-7685",
            "fax_number": "615-222-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 CROSSINGS CIR",
            "address_2": "# 180",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228471",
            "telephone_number": "615-515-9111",
            "fax_number": "615-758-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUNTAIN",
        "first_name": "CHRISTINA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-07",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203650",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO0000002939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "6064343",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020395",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01637851",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "HARNER",
            "middle_name": "LEE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.