Individual provider Active NPI

Christa Rosier, CCC, SLP

  • Speech-Language Pathologist
  • Erwin, TN
National Provider Identifier
1780005280
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0000005612 Issued in TN
Practice address
880 S Mohawk Dr
Erwin, TN 37650
Phone
(423) 743-7669
NPI assigned
Dec 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 11120 FL
Speech-Language Pathologist 235Z00000X 0000005612 TN Primary

Addresses

Primary practice location

880 S Mohawk Dr
Erwin, TN 37650

Mailing address

103 Becca Cir
Johnson City, TN 37601-6307

Other practice location 1

1666 Hillview Dr
Elizabethton, TN 37643-4116
Phone (423) 542-5061

Other practice location 2

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

Other names 1

  • Miss Christa Michelle Fisher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11120FLMDOccupational Therapy Assistant
0000005612TNMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1780005280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BECCA CIR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376016307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S MOHAWK DR",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "37650",
            "telephone_number": "423-743-7669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1666 Hillview Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376434116",
            "country_code": "US",
            "telephone_number": "423-542-5061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 S Mohawk Dr",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "37650",
            "country_code": "US",
            "telephone_number": "423-743-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSIER",
        "first_name": "CHRISTA",
        "credential": "CCC, SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-30",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "11120",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "0000005612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTA",
            "last_name": "FISHER",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "credential": "MS CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Erwin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.