CHRISTIE ROSE THACKER FNP-BC NPI 1306180534

NPI Information

  • NPI: 1306180534
  • Provider Name: CHRISTIE ROSE THACKER, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 281 N LYERLY ST STE 300
    CHATTANOOGA, TN
    ZIP 37404
  • Phone: (423) 693-2175

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NPI Details

Christie Rose Thacker, FNP-BC is a family nurse practitioner in Chattanooga, TN. Christie Rose Thacker, FNP-BC NPI is 1306180534. 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:

281 N LYERLY ST STE 300
CHATTANOOGA, TN
ZIP 37404-748
Phone: (423) 693-2175

The NPI 1306180534 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2012 and was last updated on 5/17/2024.

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 PractitionerFamily16714TENNESSEEYes

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: 3/30/2025

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