The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Benton and Kentucky

1 active clinicians are listed under Contractor - Home Modifications with a practice address in Benton, KY (8 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Contractor - Home Modifications Primary Specialty

NUCC Taxonomy Code: 171WH0202X

A contractor who makes modifications to homes to accommodate a health condition.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Contractor

✅

NPI Profile Active June 25, 2008

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) June 25, 2008

Registered at 127 TARA CT, BENTON, KY 420257513 (Tel: 2705270750)

📍

Business Mailing Address (Initial Record) June 25, 2008

Registered at 127 TARA CT, BENTON, KY 420257513 (Tel: 2705270750)

👤

Provider Name / Credentials (Initial Record) June 25, 2008

Recorded as CHRISTINA ETHERIDGE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2008

Contractor (license number reported to NPPES: KY $$$$$$$$$)

🟢

Initial NPI Registration & Enumeration June 25, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1376705954

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 25, 2008

Last Update: July 21, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

127 Tara Ct

Benton, KY 420257513

Phone: 2705270750

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.