NPIMap

Individual provider Active NPI

Christa A Blane, ARNP-BC

  • Family Nurse Practitioner
  • Dover, TN
National Provider Identifier
1851327977
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11872 Issued in TN
Practice address
1225 Spring St
Dover, TN 37058-3352
Phone
(931) 232-5555
Fax
(931) 232-5514
NPI assigned
Jun 23, 2006
Last updated
Dec 14, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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 11872 TN Primary

Addresses

Primary practice location

1225 Spring St
Dover, TN 37058-3352

Mailing address

1225 Spring St
P.O.Box 219
Dover, TN 37058-3352
Phone (931) 232-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060711000188 TN Practitioner - Nurse Practitioner 0446263685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Family Practice, PCGroup PAC ID 6305839093, 15 clinicians

Practice addresses (Care Compare)

21 W Roby Dr
Erin, TN 37061-6113
Phone (931) 289-2450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11872TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Family Practice, PC CurrentSince May 26, 2020 Accepting new patients
Clarksville Physician Services LLC PastSince Apr 3, 2023 Accepting new patients

Locations

1000 Highway 76
Clarksville, TN 37043
Phone (931) 245-1150

236 Uffelman Dr
Clarksville, TN 37043
Phone (931) 647-6305

1511 Donelson Pkwy
Dover, TN 37058
Phone (931) 232-5555

Interoperability endpoints

  • Direct secure messaging: christa.blane.1@18155.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1879/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1851327977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 SPRING ST",
            "address_2": "P.O.BOX 219",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370583352",
            "telephone_number": "931-232-5555",
            "fax_number": "931-232-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 SPRING ST",
            "city": "DOVER",
            "state": "TN",
            "postal_code": "370583352",
            "telephone_number": "931-232-5555",
            "fax_number": "931-232-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANE",
        "first_name": "CHRISTA",
        "middle_name": "A",
        "credential": "ARNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "11872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, TN

Sources for this page

Verify at the official NPI Registry.