Individual provider Active NPI

Christine S McGuire, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1083667257
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP500003638 Issued in DC
Practice address
60 O St NW
Washington, DC 20001-1259
Phone
(202) 797-8806
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-1686A ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 113717 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP-1686A ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP500003638 DC Primary

Addresses

Primary practice location

60 O St NW
Washington, DC 20001-1259

Mailing address

PO Box 9
Nampa, ID 83653-0009
Phone (208) 459-1025

Other practice location 1

808 Cleveland Blvd
Caldwell, ID 83605-4168
Phone (208) 459-1025

Other practice location 2

36 Petrie Dr
High View, WV 26808-9682
Phone (202) 797-8806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230207000086 DC Practitioner - Nurse Practitioner 7416844808 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP500003638DCMDPsychiatric/Mental Health Nurse Practitioner
113717WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Some, Inc CurrentSince Nov 10, 2022 Accepting new patients
Some, Inc CurrentSince Nov 10, 2022 Accepting new patients
Community Medical Center Inc Past Accepting new patients
Gold Street Clinic Past Accepting new patients
Some, Inc Psychiatric/Mental Health Past Accepting new patients

Locations

60 O St NW
Washington, DC 20001
Phone (202) 797-8806

36 Petrie Dr
High View, WV 26808
Phone (202) 797-8806

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJCEAA/Endpoint/AJCEAA

Organizations & group practices 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1083667257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530009",
            "telephone_number": "208-459-1025",
            "fax_number": "208-466-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 O ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011259",
            "telephone_number": "202-797-8806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Cleveland Blvd",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "ID",
            "postal_code": "836054168",
            "country_code": "US",
            "telephone_number": "208-459-1025",
            "fax_number": "208-466-5359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 Petrie Dr",
            "address_purpose": "LOCATION",
            "city": "High View",
            "state": "WV",
            "postal_code": "268089682",
            "country_code": "US",
            "telephone_number": "202-797-8806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "CHRISTINE",
        "middle_name": "S",
        "credential": "PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1686A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "113717",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP-1686A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP500003638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.