CHRYSTINA CHEREE CLINTON
NPI 1952863979
Student in an Organized Health Care Education/Training Program in Tallahassee, FL

Q: What is Chrystina Clinton's NPI number?

The NPI number for Chrystina Clinton is 1952863979. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Chrystina Clinton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Chrystina Clinton was last updated on April 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2019PECOS Enrolled

1401 CENTERVILLE RD STE 107, TALLAHASSEE, FL 32308(850) 431-5567 Get Directions Write a Review

NPPES record last updated: April 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Chrystina Cheree Clinton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSTINA CHEREE CLINTON (NPI 1952863979) is an individual student in an organized health care education/training program in Tallahassee, Florida and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952863979

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCHRYSTINA CHEREE CLINTON

Location Address1401 CENTERVILLE RD STE 107Tallahassee, FL 32308-4647

Mailing Address1401 Centerville Rd Ste 107Tallahassee, FL 32308-4647 · (850) 431-5567

Phone(850) 431-5567

Sole ProprietorNo

Enumeration DateApril 1, 2019

✔ NPI 1952863979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1401 CENTERVILLE RD STE 107, Tallahassee, FL 32308

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chrystina Cheree Clinton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PADMA VASANTHAKUMAR MD

Student in an Organized Health Care Education/Training Program