Christopher Connor

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

248 Eternity LN
Gallipolis Ferry, WV 25515-9505

Phone

(304) 675-6864

NPI assigned

Feb 25, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1053905505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 ETERNITY LN",
            "city": "GALLIPOLIS FERRY",
            "state": "WV",
            "postal_code": "255159505",
            "telephone_number": "304-675-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 ETERNITY LN",
            "city": "GALLIPOLIS FERRY",
            "state": "WV",
            "postal_code": "255159505",
            "telephone_number": "304-675-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothy L Boston, PSY.D.
• Jessica Burris
• Nancy Cantrell
• Amey Carr
• Crimson Jade Cochran
• Lisa Cooper
• Kristen Ashley Cundiff
• Amanda Dawn Davis
• Olivia Anne Deweese
• Shirley Elaine Duncan

• Community Health Worker in Gallipolis Ferry, WV
• Providers in Gallipolis Ferry, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.