Christina Diane Garner, CHW-C

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

17265 Issued in MO

Practice address

153 E Springfield Rd
Sullivan, MO 63080-1311

Phone

(573) 468-4777

Fax

(573) 468-4757

NPI assigned

Jan 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1124889407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 E SPRINGFIELD RD",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630801311",
            "telephone_number": "573-468-4777",
            "fax_number": "573-468-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E SPRINGFIELD RD",
            "city": "SULLIVAN",
            "state": "MO",
            "postal_code": "630801311",
            "telephone_number": "573-468-4777",
            "fax_number": "573-468-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "CHRISTINA",
        "middle_name": "DIANE",
        "credential": "CHW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MO",
            "license": "2021003337",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MO",
            "license": "17265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven E Fern, DO
• Margaret Foster-Angerillo
• Dixie Fox, DPM
• Paul R Frewin, MD
• Alisa Garner
• Mustafa Vecdi Gecin, M.D.
• Nicholas Gibson
• Emma M Gierer, PLPC
• Toni Marie Glover, LPN
• Bhaskar Gowda, MD

• All providers in Sullivan, MO
• Community Health Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.