Active NPI
Christina N Brown, APN
- Family Nurse Practitioner
- Kingston, TN
National Provider Identifier
1972736700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN 14350
- Practice address
- 900 Waterford PL
Suite 100
Kingston, TN 37763-2687 - Phone
- (865) 717-1121
- Fax
- (865) 717-1103
- NPI assigned
- Aug 27, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN 14350 | TN | Primary |
Addresses
Primary practice location
900 Waterford PL
Suite 100
Kingston, TN 37763-2687
Mailing address
900 Waterford PL
Suite 100
Kingston, TN 37763-2687
Phone (865) 717-1121
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091208000607 | TN | Practitioner - Nurse Practitioner | 7113066903 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN 14350 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Tennessee PC | Family | Current | Accepting new patients |
| Align Health Management Inc. | Current | Accepting new patients | |
| Sandra M. Wade, FNP Inc. | Family | Past | Accepting new patients |
Locations
1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150
2732 US Highway 411 S
Maryville, TN 37801
Phone (865) 681-5277
Interoperability endpoints
- chris.brown.1@24739.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.
-
- Family Nurse Practitioner
- Nashville, TN
- NPI 1457323164
Family, TN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251331200000",
"number": "1972736700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 WATERFORD PL",
"address_2": "SUITE 100",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377632687",
"telephone_number": "865-717-1121",
"fax_number": "865-717-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WATERFORD PL",
"address_2": "SUITE 100",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377632687",
"telephone_number": "865-717-1121",
"fax_number": "865-717-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "CHRISTINA",
"middle_name": "N",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN 14350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.