Active NPI
Christy A Rosser
- Primary Care Nurse Practitioner
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 29887
- Practice address
- 1815 Candle Ridge CV
Cordova, TN 38016-5098 - Phone
- (901) 496-3118
- NPI assigned
- Jul 19, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0000227562 | TN | |
| Primary Care Nurse Practitioner | 363LP2300X | 29887 | TN | Primary |
Addresses
Primary practice location
1815 Candle Ridge CV
Cordova, TN 38016-5098
Mailing address
1815 Candle Ridge CV
Cordova, TN 38016-5098
Phone (901) 496-3118
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- 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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
107 Wheelertown Ave
Pikeville, TN 37367-5246
Phone (423) 447-6811
1730 Dorchester Dr
Southaven, MS 38671-5723
Phone (662) 393-0050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000227562 | TN | MD | Registered Nurse |
| 29887 | TN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Providers of America, LLC | Primary Care | Current | Accepting new patients |
| Advanced Wound Care LLC | Current | Accepting new patients |
Locations
111 Chase St
Byhalia, MS 38611
Phone (662) 252-1141
1730 Dorchester Dr
Southaven, MS 38671
Phone (662) 226-2442
200 Sanitarium Cir
Dayton, TN 37321
Phone (423) 775-0771
4968 William Arnold Rd
Memphis, TN 38117
Phone (901) 685-1356
3549 Norriswood Ave
Memphis, TN 38111
Phone (864) 671-0600
107 Wheelertown Ave
Pikeville, TN 37367
Phone (423) 447-6811
Interoperability endpoints
- christy.rosser.1@33168.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Cincinnati, OH
- NPI 1316560972
MS, TN
-
- Pain Medicine (Anesthesiology) Physician
- Memphis, TN
- NPI 1902538259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629244800000",
"number": "1942873013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 CANDLE RIDGE CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380165098",
"telephone_number": "901-496-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 CANDLE RIDGE CV",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380165098",
"telephone_number": "901-496-3118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSER",
"first_name": "CHRISTY",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-19",
"last_updated": "2021-08-18",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "0000227562",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TN",
"license": "29887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.