Individual provider Active NPI

Christina Mellert Aguila, NP-C

  • Nurse Practitioner
  • Ooltewah, TN
National Provider Identifier
1891282216
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
24002 Issued in TN
Practice address
5545 Little Debbie Pkwy
Ooltewah, TN 37363-4357
Phone
(423) 238-5020
NPI assigned
Apr 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24002 TN Primary

Addresses

Primary practice location

5545 Little Debbie Pkwy
Ooltewah, TN 37363-4357

Mailing address

5545 Little Debbie Pkwy
Ooltewah, TN 37363-4357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181023003017 TN Practitioner - Nurse Practitioner 2769737766 Reassigns benefits to 1 organization
I20230905003808 NC Practitioner - Nurse Practitioner 2769737766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

1521 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-3124
Phone (423) 458-1426

2037 Congress Pkwy S
Athens, TN 37303-2813
Phone (423) 381-0152

9058 Old Lee Hwy
Ooltewah, TN 37363-5631
Phone (423) 458-1426

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24002TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Jun 18, 2023 Accepting new patients
DX Mso, PLLC CurrentSince May 4, 2020 Accepting new patients

Locations

4128 Monroe Rd
Charlotte, NC 28205
Phone (704) 337-0133

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

2037 Congress Pkwy S
Athens, TN 37303
Phone (423) 381-0152

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426

700 N Campbell Station Rd
Farragut, TN 37934
Phone (423) 458-1426

5546 Highway 153
Ste 120
Hixson, TN 37343
Phone (423) 486-1911

6108 Kingston Pike
Knoxville, TN 37919
Phone (423) 458-1426

5150 N Broadway St
Knoxville, TN 37918
Phone (865) 549-5111

7564 Chapman Hwy
Knoxville, TN 37920
Phone (423) 458-1426

9058 Old Lee Hwy
Ooltewah, TN 37363
Phone (423) 531-9110

713 Winfield Dunn Pkwy
Ste 9
Sevierville, TN 37876
Phone (423) 458-1426

Organizations & group practices 2

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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1891282216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 LITTLE DEBBIE PKWY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 LITTLE DEBBIE PKWY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634357",
            "telephone_number": "423-238-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUILA",
        "first_name": "CHRISTINA",
        "middle_name": "MELLERT",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "24002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.