Individual provider Active NPI

Christi L. Wilson, NP

  • Family Nurse Practitioner
  • Pine Hill, AL
National Provider Identifier
1083256465
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-121650 Issued in AL
Practice address
45 Industrial Dr W
Pine Hill, AL 36769-3369
Phone
(334) 963-2113
Fax
(334) 963-2116
NPI assigned
Oct 17, 2019
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-121650 AL Primary
Registered Nurse 163W00000X 1-121650 AL

Addresses

Primary practice location

45 Industrial Dr W
Pine Hill, AL 36769-3369

Mailing address

6 Wilson Dr
Camden, AL 36726-1835
Phone (052) 913-3156

Other practice location 1

6 Wilson Dr
Camden, AL 36726-1835
Phone (205) 913-3156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20211020000012 AL Practitioner - Nurse Practitioner 7517355878 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-121650ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Alabama LLC CurrentSince Oct 18, 2021 Accepting new patients

Locations

1 Perimeter Park S
Ste 100N
Mountain Brook, AL 35243
Phone (205) 936-2356

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1083256465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WILSON DR",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367261835",
            "telephone_number": "052-913-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 INDUSTRIAL DR W",
            "city": "PINE HILL",
            "state": "AL",
            "postal_code": "367693369",
            "telephone_number": "334-963-2113",
            "fax_number": "334-963-2116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Wilson Dr",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "AL",
            "postal_code": "367261835",
            "country_code": "US",
            "telephone_number": "205-913-3156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHRISTI",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-121650",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-121650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Hill, AL

Sources for this page

Verify at the official NPI Registry.