Individual provider Active NPI

Christine Vieira, PSYCHIATRIC NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ontario, NY
National Provider Identifier
1063820645
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F403931-01 Issued in NY
Practice address
1892 Ridge Rd
Ontario, NY 14519-9547
Phone
(585) 414-4802
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 687546 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F403931-01 NY Primary

Addresses

Primary practice location

1892 Ridge Rd
Ontario, NY 14519-9547

Mailing address

1892 Ridge Rd
Ontario, NY 14519-9547
Phone (585) 414-4802

Other names 1

  • Christine Defranco Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220330001253 NY Practitioner - Nurse Practitioner 4082000153 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seneca County TreasurerGroup PAC ID 7416840301, 16 clinicians

Practice addresses (Care Compare)

31 Thurber Dr
Waterloo, NY 13165-1665
Phone (315) 539-1980

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
687546NYMDRegistered Nurse
F403931-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seneca County Treasurer Current Accepting new patients
Seneca County Addictions Program CurrentSince Mar 4, 2024 Accepting new patients
Finger Lakes Area Counseling and Recovery Agency, Inc. CurrentSince Jun 25, 2022 Accepting new patients
County of Wayne CurrentSince Mar 1, 2022 Accepting new patients

Locations

28 E Main St
Clifton Springs, NY 14432
Phone (315) 462-9466

1519 Nye Rd
Ste 100
Lyons, NY 14489
Phone (315) 946-5722

1519 Nye Rd
Ste 110
Lyons, NY 14489
Phone (315) 946-5722

339 East Ave
Ste 303
Rochester, NY 14604
Phone (315) 462-9466

31 Thurber Dr
Waterloo, NY 13165
Phone (315) 539-1980

31 Thurber Dr
Ste 1
Waterloo, NY 13165
Phone 3155391920 ext. 1975

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1063820645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1892 RIDGE RD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145199547",
            "telephone_number": "585-414-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1892 RIDGE RD",
            "city": "ONTARIO",
            "state": "NY",
            "postal_code": "145199547",
            "telephone_number": "585-414-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA",
        "first_name": "CHRISTINE",
        "credential": "PSYCHIATRIC NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "687546",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F403931-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "DEFRANCO",
            "credential": "PSYCHIATRIC NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ontario, NY

Sources for this page

Verify at the official NPI Registry.