Active NPI
Christie Madge King-Patterson, NP-C
- Family Nurse Practitioner
- Waverly, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 13621
- Practice address
- 215B Holly Lane
Waverly, TN 37185 - Phone
- (931) 296-9969
- Fax
- (931) 296-8100
- NPI assigned
- Sep 30, 2008
- Last updated
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 13621 | TN | Primary |
Addresses
Primary practice location
215B Holly Lane
Waverly, TN 37185
Mailing address
127 Crestview Park Dr Ste 209
Dickson, TN 37055-2856
Phone (615) 446-5121
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- King Family Medical PLLC
Practice addresses (Care Compare)
215 B Holly LN
Waverly, TN 37185-3387
Phone (931) 296-9969
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13621 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dickson Medical Associates PC | Current | Accepting new patients | |
| Dickson Medical Associates, PC | Current | Accepting new patients |
Locations
127 Crestview Park Dr
Dickson, TN 37055
Phone (615) 441-4478
127 Crestview Park Dr
Ste 209
Dickson, TN 37055
215B Holly Ln
Waverly, TN 37185
Phone (931) 296-9969
300 S Clydeton Rd
Waverly, TN 37185
Phone (615) 446-5121
Interoperability endpoints
- ckingpatterson26927@dicksonmedicalassociates.gardenplot.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Dickson, TN
- NPI 1568464873
-
- Primary Care Clinic/Center
- Waverly, TN
- NPI 1053547760
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tristar Horizon Medical Center
- General Acute Care Hospital
- Dickson, TN
- NPI 1871530832
-
dba Ascension Saint Thomas Three Rivers
- Critical Access Hospital
- Waverly, TN
- NPI 1235387044
-
dba Home Care Solutions
- Home Health Agency
- Dickson, TN
- NPI 1013175215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1477703155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 CRESTVIEW PARK DR STE 209",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552856",
"telephone_number": "615-446-5121",
"fax_number": "615-446-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215B HOLLY LANE",
"city": "WAVERLY",
"state": "TN",
"postal_code": "37185",
"telephone_number": "931-296-9969",
"fax_number": "931-296-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING-PATTERSON",
"first_name": "CHRISTIE",
"middle_name": "MADGE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "13621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waverly, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.