Individual provider Active NPI

Christy Elizabeth Phillips, CNNP

  • Neonatal Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1982667382
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
APN0000010955 Issued in TN
Practice address
979 E 3Rd St
Suite 300
Chattanooga, TN 37403-2136
Phone
(423) 267-0466
NPI assigned
Apr 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X APN10955 TN
Neonatal Nurse Practitioner 363LN0000X APN0000010955 TN Primary

Addresses

Primary practice location

979 E 3Rd St
Suite 300
Chattanooga, TN 37403-2136

Mailing address

979 E 3Rd St
Suite 300
Chattanooga, TN 37403-2136
Phone (423) 267-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201001000311 TN Practitioner - Nurse Practitioner 8224457825 Reassigns benefits to 1 organization
I20220628002975 GA Practitioner - Nurse Practitioner 8224457825 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000010955TNMDNeonatal Nurse Practitioner
APN10955TNMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Sep 14, 2020 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Sep 14, 2020 Accepting new patients
Floyd Physicians, LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

910 Blackford St
Chattanooga, TN 37403
Phone (423) 778-4044

979 E 3rd St
Ste 300
Chattanooga, TN 37403
Phone (423) 757-0792

185 Hospital Rd
Winchester, TN 37398
Phone (931) 962-4061

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1982667382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "SUITE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-267-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 E 3RD ST",
            "address_2": "SUITE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374032136",
            "telephone_number": "423-267-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHRISTY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CNNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "TN",
            "license": "APN10955",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TN",
            "license": "APN0000010955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.