Individual provider Active NPI

Chikisha Laray Flint, CRNP

  • Acute Care Nurse Practitioner
  • Tuscumbia, AL
National Provider Identifier
1831470996
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-106773 Issued in AL
Practice address
1404 E Avalon Ave
Wing B
Tuscumbia, AL 35674-1773
Phone
(256) 383-4473
Fax
(256) 381-5232
NPI assigned
Sep 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-106773 AL Primary

Addresses

Primary practice location

1404 E Avalon Ave
Wing B
Tuscumbia, AL 35674-1773

Mailing address

PO Box 2587
Muscle Shoals, AL 35662-2587
Phone (256) 383-4473

Other identifiers 1

IdentifierTypeStateIssuer
1326373861OtherALGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20111102000164 AL Practitioner - Nurse Practitioner 2365615655 Reassigns benefits to 4 organizations

National Provider Directory

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1831470996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2587",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356622587",
            "telephone_number": "256-383-4473",
            "fax_number": "256-381-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E AVALON AVE",
            "address_2": "WING B",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741773",
            "telephone_number": "256-383-4473",
            "fax_number": "256-381-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLINT",
        "first_name": "CHIKISHA",
        "middle_name": "LARAY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-106773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1326373861",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscumbia, AL

Sources for this page

Verify at the official NPI Registry.