MEDICARE: CHRISTI MELINDA HOPKINS CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	132571	TN
2	367500000X	Certified Registered Nurse Anesthetist	1163	VI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00268237	OTHER	TN	MEDICARE TRAVELERS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	100049032	OTHER	TN	PHP TENNCARE
2	4133432	OTHER	TN	BLUECROSS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	4133432	OTHER	TN	BLUECARE

General Provider Information

NPI Number	:	1366488439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTI MELINDA HOPKINS CRNA

Provider Business Mailing Address
First Line	:	5121 ESTATE COTTON VALLEY SHORES
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820
Country	:	US
Telephone Number	:	865-816-7244
Fax Number	:

Provider Business Practice Location Address
First Line	:	5121 ESTATE COTTON VALLEY SHORES
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820
Country	:	US
Telephone Number	:	865-816-7244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	10/22/2014

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