Individual provider Active NPI

Natasha Rose Christian, APRN

  • Family Nurse Practitioner
  • Naples, FL
National Provider Identifier
1043939143
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704301663 Issued in MI
Practice address
4513 Executive Dr
Naples, FL 34119-9033
Phone
(239) 591-2803
Fax
(239) 594-5637
NPI assigned
Aug 23, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704301663 MI Primary

Addresses

Primary practice location

4513 Executive Dr
Naples, FL 34119-9033

Mailing address

8671 Addison Place Cir Unit 411
Naples, FL 34119-7851
Phone (517) 303-3738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220916001258 FL Practitioner - Nurse Practitioner 4981089604 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704301663MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Korunda Medical, LLC CurrentSince Aug 1, 2022 Accepting new patients
Rd Medical Professional Services PC CurrentSince Jul 19, 2024 Accepting new patients

Locations

13755 Golf Club Pkwy
Fort Myers, FL 33919
Phone (239) 482-2848

4513 Executive Dr
Naples, FL 34119
Phone (239) 431-6464

4513 Executive Dr
Ste 101
Naples, FL 34119
Phone (239) 594-7563

661 Goodlette Rd
Ste 103
Naples, FL 34102

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

5157 Park Club Dr
Sarasota, FL 34235
Phone (941) 377-0022

Organizations & group practices 2

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": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1043939143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8671 ADDISON PLACE CIR UNIT 411",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341197851",
            "telephone_number": "517-303-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4513 EXECUTIVE DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341199033",
            "telephone_number": "239-591-2803",
            "fax_number": "239-594-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "NATASHA",
        "middle_name": "ROSE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704301663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.