Individual provider Active NPI

Christi D Banks, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Dandridge, TN
National Provider Identifier
1992823512
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
29974 Issued in TN
Practice address
854 Highway 92 S Ste B
Dandridge, TN 37725-4969
Phone
(865) 484-9355
Fax
(865) 484-9899
NPI assigned
Mar 26, 2007
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 29974 TN Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 106125 TN

Addresses

Primary practice location

854 Highway 92 S Ste B
Dandridge, TN 37725-4969

Mailing address

PO Box 1205
Dandridge, TN 37725-1205
Phone (865) 484-9355

Other practice location 1

659 Morganton Square Dr
Maryville, TN 37801-4763
Phone (865) 484-9355

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
I20211112001143 TN Practitioner - Nurse Practitioner 7012306095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Lincoln Memorial University Medical Department, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

659 Morganton Square Dr
Maryville, TN 37801-4763
Phone (865) 268-5201

854 Hwy 92 S
Suite B
Dandridge, TN 37725-4888
Phone (865) 484-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
106125TNMDPsychiatric/Mental Health Registered Nurse
29974TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Hearts Wellness Center of Tennessee LLC CurrentSince Oct 12, 2021 Accepting new patients

Locations

854 Highway 92 S
Ste B
Dandridge, TN 37725
Phone (865) 484-9355

659 Morganton Square Dr
Maryville, TN 37801
Phone (865) 406-2715

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1992823512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1205",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377251205",
            "telephone_number": "865-484-9355",
            "fax_number": "865-484-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 HIGHWAY 92 S STE B",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "377254969",
            "telephone_number": "865-484-9355",
            "fax_number": "865-484-9899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "659 Morganton Square Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378014763",
            "country_code": "US",
            "telephone_number": "865-484-9355",
            "fax_number": "865-484-9899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "CHRISTI",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "29974",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TN",
            "license": "106125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dandridge, TN

Sources for this page

Verify at the official NPI Registry.