Active NPI
Christin Page Friederich, WHNP-BC
- Obstetrics & Gynecology Nurse Practitioner
- Chicago, IL
National Provider Identifier
1114300381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 209012321
- Practice address
- 111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597 - Phone
- (888) 731-8994
- Fax
- (888) 732-8119
- NPI assigned
- Jul 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 209012321 | IL | Primary |
Addresses
Primary practice location
111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597
Mailing address
111 W Jackson Blvd Ste 1700
Chicago, IL 60604-3597
Other practice location 1
1031 Bellevue Ave
Ste 400
Saint Louis, MO 63117-1818
Phone (314) 977-7455
Other practice location 2
2016 Vadalabene Dr Ste B
Maryville, IL 62062-6901
Phone (618) 288-2970
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 309014755 | Other | IL | CONTROLLED SUBSTANCE LICENSE NUMBER |
| 209012321 | Other | IL | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210917001480 | IL | Practitioner - Nurse Practitioner | 4183938087 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Womens Care PC | Past | Accepting new patients |
Interoperability endpoints
- christin.friederich.1@20824.direct.athenahealth.com
- christin.friederich.1@27069.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Palo Alto, CA
- NPI 1972266732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1114300381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 W JACKSON BLVD STE 1700",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606043597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W JACKSON BLVD STE 1700",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606043597",
"telephone_number": "888-731-8994",
"fax_number": "888-732-8119"
}
],
"practiceLocations": [
{
"address_1": "1031 Bellevue Ave",
"address_2": "Ste 400",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631171818",
"country_code": "US",
"telephone_number": "314-977-7455",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2016 Vadalabene Dr Ste B",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "IL",
"postal_code": "620626901",
"country_code": "US",
"telephone_number": "618-288-2970",
"fax_number": "618-288-3572",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIEDERICH",
"first_name": "CHRISTIN",
"middle_name": "PAGE",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "IL",
"license": "209012321",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE LICENSE NUMBER",
"identifier": "309014755",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "209012321",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.