Individual provider Active NPI

Christy Diane Harrison, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1841970878
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
34436 Issued in TN
Practice address
105 Cherry Ave
Cookeville, TN 38501-2521
Phone
(931) 528-5811
Fax
(931) 526-1497
NPI assigned
Jul 24, 2023
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 34436 TN Primary

Addresses

Primary practice location

105 Cherry Ave
Cookeville, TN 38501-2521

Mailing address

105 Cherry Ave
Cookeville, TN 38501-2521
Phone (931) 528-5811

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
I20230822001087 TN Practitioner - Nurse Practitioner 2365535291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 Cherry Ave
Cookeville, TN 38501-2521

1504 Williams Dr
Murfreesboro, TN 37129-3274

3871 Post Oak Cir
Cookeville, TN 38506-3334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Neurology, PLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

105 Cherry Ave
Cookeville, TN 38501
Phone (931) 528-5811

Organizations & group practices 1

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1841970878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CHERRY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012521",
            "telephone_number": "931-528-5811",
            "fax_number": "931-526-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHERRY AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012521",
            "telephone_number": "931-528-5811",
            "fax_number": "931-526-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "CHRISTY",
        "middle_name": "DIANE",
        "name_prefix": "Miss",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "34436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.