Individual provider Active NPI

Christian Paige Lundberg, FNP

  • Family Nurse Practitioner
  • Paris, TN
National Provider Identifier
1558062000
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33583 Issued in TN
Practice address
243 Jim Adams Dr
Paris, TN 38242-4967
Phone
(731) 644-2747
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 33583 TN Primary

Addresses

Primary practice location

243 Jim Adams Dr
Paris, TN 38242-4967

Mailing address

284 Breakers Bend Dr
Buchanan, TN 38222-4990
Phone (615) 686-8846

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127000081 TN Practitioner - Nurse Practitioner 4587199609 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
33583TNMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
WT Medical Associates CurrentSince Oct 1, 2024 Accepting new patients
WT Medical Associates Family Current Accepting new patients
WT Medical Associates CurrentSince Oct 1, 2024 Accepting new patients
Murray-Calloway County Public Hospital Corporation Past Accepting new patients
Murray-Calloway County Public Hospital Corporation Past Accepting new patients
Murray-Calloway County Public Hospital Corporation Past Accepting new patients

Locations

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

257 Bancorp South Pkwy
Jackson, TN 38305
Phone (731) 512-1283

243 Jim Adams Dr
Paris, TN 38242
Phone (731) 644-2747

Interoperability endpoints

  • Direct secure messaging: clundberg@hcmcclinics.gwaydirect.com

Organizations & group practices 6

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": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1558062000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 BREAKERS BEND DR",
            "city": "BUCHANAN",
            "state": "TN",
            "postal_code": "382224990",
            "telephone_number": "615-686-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 JIM ADAMS DR",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424967",
            "telephone_number": "731-644-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDBERG",
        "first_name": "CHRISTIAN",
        "middle_name": "PAIGE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.