Christianna Kay Decker, FNP-C

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

26875 Issued in SC

Practice address

10 Enterprise Blvd Ste 111
Greenville, SC 29615-3534

Phone

(864) 609-4009

Fax

(864) 609-4011

NPI assigned

Dec 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20694/brand/1/csg/1/fhir/r4
• Direct secure messaging: christianna.decker.1@20694.direct.athenahealth.com

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.

• Elle OBGYN LLC

  • Obstetrics & Gynecology Physician
  • Greenville, SC
  • NPI 1073029278
  Medicare reassignment NPD

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1104539659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD STE 111",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153534",
            "telephone_number": "864-609-4009",
            "fax_number": "864-609-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ENTERPRISE BLVD STE 111",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153534",
            "telephone_number": "864-609-4009",
            "fax_number": "864-609-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "CHRISTIANNA",
        "middle_name": "KAY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "26875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING BOARD - APRN",
            "identifier": "26875",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Debord
• Michael Debrouwer
• Joseph Cart Debrux Jr., M.D.
• Bonnie Elizabeth Debusk, D.O.
• Zachory Graham Decarolis, PT, DPT, CSCS
• Christy M Decker, RN
• Georgenna R. Decker, LISW-CP
• Jeremy Craig Decker, COTA/L
• Arwen Beatrice Long Declan, MD, PHD
• Paul Declerck, MD

• Obstetrics & Gynecology Physician in Greenville, SC
• Providers in Greenville, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.