Individual provider Active NPI

Christina L. Christiansen, D.C.

  • Chiropractor
  • Johnson City, TN
National Provider Identifier
1508901745
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2167 Issued in TN
Practice address
217 E Springbrook Dr
Suite #1
Johnson City, TN 37601-1733
Phone
(423) 434-2080
Fax
(423) 434-2185
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2167 TN Primary

Addresses

Primary practice location

217 E Springbrook Dr
Suite #1
Johnson City, TN 37601-1733

Mailing address

217 E Springbrook Dr
Suite #1
Johnson City, TN 37601-1733
Phone (423) 434-2080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070710000965 TN Practitioner - Chiropractic 2860592557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

217 E Springbrook Dr
Suite 1
Johnson City, TN 37601-1733
Phone (423) 434-2080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2167TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Purelife Chiropractic, PLLC Chiropractor CurrentSince Mar 16, 2007 Accepting new patients
Kingsport Family Medical Care PLLC CurrentSince Apr 2, 2007 Accepting new patients

Locations

217 E Springbrook Dr
Ste 1
Johnson City, TN 37601
Phone (423) 434-2080

935 Wilcox Ct
Ste 115
Kingsport, TN 37660
Phone (423) 444-9801

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508901745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E SPRINGBROOK DR",
            "address_2": "SUITE #1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011733",
            "telephone_number": "423-434-2080",
            "fax_number": "423-434-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E SPRINGBROOK DR",
            "address_2": "SUITE #1",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376011733",
            "telephone_number": "423-434-2080",
            "fax_number": "423-434-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "CHRISTINA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.