Christine Clyne

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

0304962304 Issued in NH

Practice address

298 White Mountain Hwy
Conway, NH 03818-4204

Phone

(603) 447-8900

NPI assigned

Dec 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/31136/brand/1/csg/1/fhir/r4

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

• White Mountain Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Conway, NH
  • NPI 1659470383
  NPD (past)
• Northeastern Vermont Regional Hospital, Inc.

  • Critical Access Hospital
  • St Johnsbury, VT
  • NPI 1326080268
  NPD (past)

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043379837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2800",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038182800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 WHITE MOUNTAIN HWY",
            "city": "CONWAY",
            "state": "NH",
            "postal_code": "038184204",
            "telephone_number": "603-447-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYNE",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NH",
            "license": "0304962304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4710482",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30341074",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA58958",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1329904",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "4008336Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Children Unlimited Inc
• Children Unlimited, Inc
• Children Unlimited, Inc.
• Children Unlimited, Inc.
• Courtney Clark, BCBA
• Lauren S. Conley, LICSW
• Conway Village Dental
• Conway Village Dental PLLC
• Conway Village Fire District
• Conway Village Fire District

• All providers in Conway, NH
• Women's Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.