CHRISSIE MIDDLETON NPI 1104153006

NPI Information

  • NPI: 1104153006
  • Provider Name: CHRISSIE MIDDLETON
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4109 E NORTH ST STE 300C
    GREENVILLE, SC
    ZIP 29615
  • Phone: (864) 409-7041

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NPI Details

Chrissie Middleton is a psychiatric/mental health nurse practitioner in Greenville, SC. Chrissie Middleton NPI is 1104153006. 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:

4109 E NORTH ST STE 300C
GREENVILLE, SC
ZIP 29615-227
Phone: (864) 409-7041
Fax: (864) 428-1286

The NPI 1104153006 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 11/13/2009 and was last updated on 9/23/2024.

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
1363LF0000XNurse PractitionerFamily3964SOUTH CAROLINANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health3964SOUTH CAROLINAYes

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: 11/21/2025

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