Cristi Lee Bouldin, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

727 Issued in TN

Practice address

108 N Spring St
Manchester, TN 37355-1563

Phone

(931) 728-3988

Fax

(931) 728-6530

NPI assigned

Sep 2, 2009

Last updated

Jul 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Cristi Lee Wart Former name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aria Podiatry Care PLLCGroup PAC ID 2567822661, 53 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aria Podiatry Care PLLC

  • Podiatrist
  • Middleburg, FL
  • NPI 1568160091

  TN

  Medicare reassignment Care Compare group NPD
• Middle Tennessee Foot Associates P C

  • Foot & Ankle Surgery Podiatrist
  • Manchester, TN
  • NPI 1437306198
  NPD (past)
• Aria Dental Care PC

  • Dentist
  • Overland Park, KS
  • NPI 1942977632
  NPD (past)

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1649403080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N SPRING ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551563",
            "telephone_number": "931-728-3988",
            "fax_number": "931-728-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N SPRING ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373551563",
            "telephone_number": "931-728-3988",
            "fax_number": "931-728-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULDIN",
        "first_name": "CRISTI",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006148",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRISTI",
            "last_name": "WART",
            "middle_name": "LEE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bill B. Hollins D.O. P.C.
• Suzanne Normand Blackwood, LPC-MHSP
• Bledsoe Falls Emergency Physicians LLC
• Tina Marie Bond, RN
• Bonnesant Enterprises, LLC (Doctors Associates Home Health)
• Eric B Bouldin, D.P.M.
• Macey Elyse Bowman
• Ronald Bradford, D.PH.
• Robin Michael Brady, OD
• Brandon Medical Group PLLC

• Foot & Ankle Surgery Podiatrist in Manchester, TN
• Providers in Manchester, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.

Verify at the official NPI Registry.