Individual provider Active NPI

Christine Susanne Hinz, RN

  • Long-Term Care Clinical Nurse Specialist
  • Warsaw, IN
National Provider Identifier
1053039495
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long-Term Care Clinical Nurse SpecialistTaxonomy code 364SL0600X
License
28199280A Issued in IN
Practice address
2695 Sheldon Dr
Warsaw, IN 46582-6544
Phone
(574) 658-9455
Fax
(574) 658-3412
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long-Term Care Clinical Nurse Specialist 364SL0600X 28199280A IN Primary

Addresses

Primary practice location

2695 Sheldon Dr
Warsaw, IN 46582-6544

Mailing address

2695 Sheldon Dr
Warsaw, IN 46582-6544
Phone (574) 658-9455

Other identifiers 1

IdentifierTypeStateIssuer
28199280AOtherINN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL christine.hinz@paddocksprings.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
28199280AINMDLong-Term Care Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1053039495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 SHELDON DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465826544",
            "telephone_number": "574-658-9455",
            "fax_number": "574-658-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 SHELDON DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465826544",
            "telephone_number": "574-658-9455",
            "fax_number": "574-658-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINZ",
        "first_name": "CHRISTINE",
        "middle_name": "SUSANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SL0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Long-Term Care",
            "state": "IN",
            "license": "28199280A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "28199280A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "christine.hinz@paddocksprings.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "2695 Sheldon Dr",
            "city": "Warsaw",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465826544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warsaw, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.