Provider Demographics
NPI:1013803626
Name:CARLIN, CHRISTA ANN (APRN)
Entity type:Individual
Prefix:
First Name:CHRISTA
Middle Name:ANN
Last Name:CARLIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 BECKAH DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8326
Mailing Address - Country:US
Mailing Address - Phone:859-779-3640
Mailing Address - Fax:859-779-3640
Practice Address - Street 1:793 EASTERN BYP STE 201
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2440
Practice Address - Country:US
Practice Address - Phone:859-624-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4041755363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily