Active NPI
Christina Parker Jackson, FNP
- Family Nurse Practitioner
- Pleasant View, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 19867
- Practice address
- 6312 Highway 41a Ste 108
Pleasant View, TN 37146-8221 - Phone
- (615) 746-6091
- Fax
- (615) 746-6095
- NPI assigned
- Apr 14, 2015
- Last updated
- May 19, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19867 | TN | Primary |
| Family Nurse Practitioner | 363LF0000X | 3-000028 | AL | |
| Registered Nurse | 163W00000X | 174854 | TN |
Addresses
Primary practice location
6312 Highway 41a Ste 108
Pleasant View, TN 37146-8221
Mailing address
6312 Highway 41a Ste 108
Pleasant View, TN 37146-8221
Phone (615) 746-6091
Other practice location 1
5275 Millennium Dr NW
Huntsville, AL 35806-2457
Phone (256) 489-6800
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Crossroads Urgent Care PLLC
Practice addresses (Care Compare)
1690 Fort Campbell Blvd
Clarksville, TN 37042-7531
Phone (931) 648-4838
2006 Memorial Blvd
Springfield, TN 37172-3905
Phone (615) 380-8411
2147 Wilma Rudolph Blvd
Clarksville, TN 37040-6663
Phone (931) 241-4115
2224 Madison St
Clarksville, TN 37043-8043
Phone (931) 503-7015
2445 Memorial Blvd
Murfreesboro, TN 37129-5156
Phone (615) 217-6900
6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (769) 243-6141
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174854 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Plus Limited Liability Company | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Crossroads Urgent Care PLLC | Family | Current | Accepting new patients |
| Crossroads Urgent Care PLLC | Family | Current | Accepting new patients |
| On-Site Health LLC | Family | Current | Accepting new patients |
| Iris Medical Group | Family | Current | Accepting new patients |
| Wound Management Specialists, LLC | Current | Accepting new patients | |
| Steel Family Medicine | Past | Accepting new patients | |
| Iris Wound Care, PC | Past | Accepting new patients | |
| Advanced Diagnostic Imaging PC | Past | Accepting new patients |
Locations
778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620
9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
4909 Alabama Ave
Ste 1019
Nashville, TN 37209
Interoperability endpoints
- christina.jackson.1@30029.direct.athenahealth.com
- https://api.platform.athenahealth.com/8429/brand/1/csg/1/fhir/r4
Organizations & group practices 11
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.
-
dba Urgent Team
- Family Medicine Physician
- Murfreesboro, TN
- NPI 1366644361
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
dba Urgent Team
- Rural Health Clinic/Center
- South Pittsburg, TN
- NPI 1427781129
Family
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Family Nurse Practitioner
- Flowood, MS
- NPI 1598348799
-
dba Ankle and Foot Centers of Nashville
- Durable Medical Equipment & Medical Supplies
- Lewisburg, TN
- NPI 1922846559
-
- Clinic/Center
- Brentwood, TN
- NPI 1568273605
-
- Family Medicine Physician
- Pleasant View, TN
- NPI 1023430824
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Panola Medical Center
- Rural Acute Care Hospital
- Batesville, MS
- NPI 1053873307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1609262898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6312 HIGHWAY 41A STE 108",
"city": "PLEASANT VIEW",
"state": "TN",
"postal_code": "371468221",
"telephone_number": "615-746-6091",
"fax_number": "615-746-6095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6312 HIGHWAY 41A STE 108",
"city": "PLEASANT VIEW",
"state": "TN",
"postal_code": "371468221",
"telephone_number": "615-746-6091",
"fax_number": "615-746-6095"
}
],
"practiceLocations": [
{
"address_1": "5275 Millennium Dr NW",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358062457",
"country_code": "US",
"telephone_number": "256-489-6800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "CHRISTINA",
"middle_name": "PARKER",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "19867",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "3-000028",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "174854",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant View, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.