Active NPI
Christie Hummel, FNP-BC
- Family Nurse Practitioner
- Cookeville, TN
National Provider Identifier
1962740217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN6295
- Practice address
- 112 N. Walnut Ave
Cookeville, TN 38501 - Phone
- (931) 520-1414
- Fax
- (931) 520-1246
- NPI assigned
- Jan 22, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6295 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN6295 | TN | Primary |
Addresses
Primary practice location
112 N. Walnut Ave
Cookeville, TN 38501
Mailing address
PO Box 1210
Cookeville, TN 38503-1210
Phone (931) 520-1414
Other names 1
- Christie Kelley
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 N Walnut Ave
Cookeville, TN 38501-2554
Phone (931) 520-1414
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN6295 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlands Dermatology and Surgical Associates | Current | Accepting new patients | |
| Richard S. Hall, M.D. | Past | Accepting new patients |
Locations
112 N Walnut Ave
Cookeville, TN 38501
Phone (615) 520-1414
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.
-
- Specialist
- Cookeville, TN
- NPI 1093151045
-
- Specialist
- Cookeville, TN
- NPI 1235252818
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1962740217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1210",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385031210",
"telephone_number": "931-520-1414",
"fax_number": "931-520-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N. WALNUT AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "38501",
"telephone_number": "931-520-1414",
"fax_number": "931-520-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMMEL",
"first_name": "CHRISTIE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-22",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "6295",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN6295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTIE",
"last_name": "KELLEY",
"credential": "FNP-BC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.