Active NPI
Christina Mellert Aguila, NP-C
- Nurse Practitioner
- Ooltewah, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 24002
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24002 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Afc Urgent Care and Family Care of WNC, PLLC | Current | Accepting new patients | |
| DX Mso, PLLC | Current | 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.
-
- Urgent Care Clinic/Center
- Chattanooga, TN
- NPI 1225381148
-
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.