Claire Decristofaro, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14685 Issued in TN

Practice address

3101 Browns Mill Rd
Suite 6 # 303
Johnson City, TN 37604-4100

Phone

(828) 545-9406

NPI assigned

Jul 29, 2005

Last updated

Mar 7, 2023By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669472783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18029",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288140029",
            "telephone_number": "828-545-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BROWNS MILL RD",
            "address_2": "SUITE 6 # 303",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044100",
            "telephone_number": "828-545-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECRISTOFARO",
        "first_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "14685",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "017986",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME NUMBER AMA",
            "identifier": "03546790168",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler C Dean, MD
• Deanna Jo Williamson (Regional Health Services)
• Hannah Debarge
• Wesley Eric Debord, PTA
• Debra Jo Uncapher (Prestige Family Medicine)
• Emma Caroline Deeds, OTD
• Zvjezdana Dekic-Djordjevic, M.D.
• Christopher Jordan Dela Houssaye, D.O.
• Emily Dell, M.D.
• Rebecca Annette Delong, LCSW

• Family Medicine Physician in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.