MS. CRISTAL DENISE PAYNE FNP-BC AGACNP-BC NPI 1376099960

NPI Information

NPI: 1376099960
Provider Name: MS. CRISTAL DENISE PAYNE, FNP-BC, AGACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: MEMORIAL HEALTH PARTNERS FOUNDATION, INC

PECOS Registration: Yes

Address:
2525 DESALES AVE
300 SOUTH
CHATTANOOGA, TN
ZIP 37404
Phone: (423) 495-8300
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MS. Cristal Denise Payne, FNP-BC, AGACNP-BC is an acute care nurse practitioner in Chattanooga, TN with 9 years of experience. MS. Cristal Denise Payne, FNP-BC, AGACNP-BC NPI is 1376099960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2525 DESALES AVE
300 SOUTH
CHATTANOOGA, TN
ZIP 37404-161
Phone: (423) 495-8300
Fax: (423) 495-6155

The NPI 1376099960 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2016 and was last updated on 9/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	21286	TENNESSEE	No
2	363LG0600X	Nurse Practitioner	Gerontology	21286	TENNESSEE	No
3	363LA2100X	Nurse Practitioner	Acute Care	21286	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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