Individual provider Active NPI

Christina N Brown, APN

  • Family Nurse Practitioner
  • Kingston, TN
National Provider Identifier
1972736700
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN 14350 Issued in TN
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

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091208000607 TN Practitioner - Nurse Practitioner 7113066903 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN 14350TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Tennessee PC Family CurrentSince Apr 16, 2010 Accepting new patients
Align Health Management Inc. CurrentSince May 7, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.