Individual provider Active NPI

Christina Peterson

  • Nurse Practitioner
  • Fairview, PA
National Provider Identifier
1023553203
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP017068 Issued in PA
Practice address
7287 W Ridge Rd
Fairview, PA 16415-1130
Phone
(814) 877-2360
NPI assigned
Dec 27, 2016
Last updated
Dec 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP017068 PA Primary

Addresses

Primary practice location

7287 W Ridge Rd
Fairview, PA 16415-1130

Mailing address

7287 W Ridge Rd
Fairview, PA 16415-1130
Phone (814) 877-2360

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christina.peterson@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170516001153 PA Practitioner - Nurse Practitioner 9436436714 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Dec 5, 2021 Accepting new patients
Oncology Hematology Association Inc CurrentSince Nov 1, 2018 Accepting new patients
Oncology Hematology Association CurrentSince Nov 1, 2018 Accepting new patients

Locations

2500 W 12th St
Erie, PA 16505
Phone (814) 838-9000

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

7287 W Ridge Rd
Fairview, PA 16415
Phone (814) 454-8287

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1023553203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7287 W RIDGE RD",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164151130",
            "telephone_number": "814-877-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7287 W RIDGE RD",
            "city": "FAIRVIEW",
            "state": "PA",
            "postal_code": "164151130",
            "telephone_number": "814-877-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP017068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina.peterson@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairview, PA

Sources for this page

Verify at the official NPI Registry.