Active NPI
Christy Hannah, LPN
- Licensed Practical Nurse
- Crossville, TN
National Provider Identifier
1497407290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 78113
- Practice address
- 414 Tate Rd
Crossville, TN 38571-1211 - Phone
- (865) 282-6929
- NPI assigned
- Jan 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 78113 | TN | Primary |
Addresses
Primary practice location
414 Tate Rd
Crossville, TN 38571-1211
Mailing address
414 Tate Rd
Crossville, TN 38571-1211
Phone (865) 282-6929
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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 |
|---|---|---|---|
| 78113 | TN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642809600000",
"number": "1497407290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 TATE RD",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385711211",
"telephone_number": "865-282-6929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 TATE RD",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385711211",
"telephone_number": "865-282-6929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNAH",
"first_name": "CHRISTY",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-22",
"last_updated": "2022-01-22",
"certification_date": "2022-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TN",
"license": "78113",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "414 Tate Rd",
"city": "Crossville",
"state": "TN",
"country_code": "US",
"postal_code": "385711211",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Crossville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.