Provider Demographics
NPI:1366488439
Name:HOPKINS, CHRISTI MELINDA (CRNA)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:MELINDA
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CHRISTI
Other - Middle Name:HOPKINS
Other - Last Name:STROUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:5121 ESTATE COTTON VALLEY SHORES
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820
Mailing Address - Country:US
Mailing Address - Phone:865-816-7244
Mailing Address - Fax:
Practice Address - Street 1:5121 ESTATE COTTON VALLEY SHORES
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:865-816-7244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN132571367500000X
VI1163367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN100049032OtherPHP TENNCARE
TN4133432OtherBLUECROSS
TN3635298Medicaid
TN4133432OtherBLUECARE
TNP00268237OtherMEDICARE TRAVELERS
TN3635298Medicare ID - Type Unspecified