Provider Demographics
NPI:1871682567
Name:MAPES, CHRISTY H (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:H
Last Name:MAPES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 CHAPMAN HWY
Mailing Address - Street 2:EMPLOYEE HEALTH CENTER
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-6612
Mailing Address - Country:US
Mailing Address - Phone:865-403-8672
Mailing Address - Fax:
Practice Address - Street 1:7300 CHAPMAN HWY
Practice Address - Street 2:EMPLOYEE HEALTH CENTER
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-6612
Practice Address - Country:US
Practice Address - Phone:865-403-8672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7635363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN100044079OtherPHP TENNCARE
TN3633575Medicaid
TNP00154878OtherTRAVELERS MEDICARE
TN36335751Medicare PIN
TN3633575Medicare ID - Type Unspecified