Individual provider Active NPI

Christine Ladd, APN

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1790088482
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15459 Issued in TN
Practice address
3001 Lake Brook Blvd Ste 101
Knoxville, TN 37909-3761
Phone
(865) 374-0600
NPI assigned
Dec 17, 2010
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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 15459 TN Primary

Addresses

Primary practice location

3001 Lake Brook Blvd Ste 101
Knoxville, TN 37909-3761

Mailing address

3001 Lake Brook Blvd Ste 101
Knoxville, TN 37909-3761
Phone (865) 374-0600

Other identifiers 1

IdentifierTypeStateIssuer
1526332MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ladd.christine@covenanthealth.cernerdirect.com

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
I20110202000753 TN Practitioner - Nurse Practitioner 0941480313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant HomecareGroup PAC ID 0749282010, 16 clinicians

Practice addresses (Care Compare)

3001 Lake Brook Blvd
Suite 101
Knoxville, TN 37909-3761
Phone (865) 374-0600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15459TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Homecare CurrentSince Jun 1, 2021 Accepting new patients
LHCG Cxxxii, LLC CurrentSince Sep 14, 2020 Accepting new patients
Covenant Medical Group, Inc. CurrentSince Feb 27, 2023 Accepting new patients
Covenant Homecare CurrentSince Jun 1, 2021 Accepting new patients
Covenant Medical Group, Inc CurrentSince Feb 27, 2023 Accepting new patients

Locations

3003 Lake Brook Blvd
Ste 101
Knoxville, TN 37909

4435 Valley View Dr
Ste 102
Knoxville, TN 37917
Phone (865) 544-6244

505 N Peters Rd
Knoxville, TN 37922
Phone (865) 692-2920

Dept 888179
Knoxville, TN 37995

111 Clyde St
Loudon, TN 37774
Phone (865) 458-1554

Interoperability endpoints

  • Direct secure messaging: ladd.christine@covenanthealth.cernerdirect.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1790088482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 LAKE BROOK BLVD STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093761",
            "telephone_number": "865-374-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 LAKE BROOK BLVD STE 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379093761",
            "telephone_number": "865-374-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADD",
        "first_name": "CHRISTINE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526332",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ladd.christine@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "505 N Peters Rd",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379227504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.