Individual provider Active NPI

Michelle Ann Christie, RN, BSN, CDE

  • Diabetes Educator Registered Nurse
  • Lower Gwynedd, PA
National Provider Identifier
1053573881
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
RN504785L Issued in PA
Practice address
714 N Bethlehem Pike Ste 300
Lower Gwynedd, PA 19002-2655
Phone
(215) 283-2833
Fax
(215) 283-1919
NPI assigned
Jul 2, 2008
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X RN504785L PA Primary

Addresses

Primary practice location

714 N Bethlehem Pike Ste 300
Lower Gwynedd, PA 19002-2655

Mailing address

714 N Bethlehem Pike Ste 300
Lower Gwynedd, PA 19002-2655
Phone (215) 283-2833

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN504785LPAMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1053573881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N BETHLEHEM PIKE STE 300",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022655",
            "telephone_number": "215-283-2833",
            "fax_number": "215-283-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 N BETHLEHEM PIKE STE 300",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190022655",
            "telephone_number": "215-283-2833",
            "fax_number": "215-283-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "RN,  BSN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "PA",
            "license": "RN504785L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Gwynedd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.