Individual provider Active NPI

Hollie Sue Christiansen

  • Social Worker
  • Elbert, CO
National Provider Identifier
1134878242
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SWC-0000000632 Issued in CO
Practice address
13620 Halleluiah Trail
Elbert, CO 80106
Phone
(719) 495-3908
NPI assigned
Mar 23, 2022
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 0000000632 CO
Social Worker 104100000X SWC-0000000632 CO Primary

Addresses

Primary practice location

13620 Halleluiah Trail
Elbert, CO 80106

Mailing address

13950 Windy Pine Dr
Elbert, CO 80106-8874
Phone (719) 726-2776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0000000632COMDSocial Worker
SWC-0000000632COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stablestrides CurrentSince Dec 3, 2023 Accepting new patients
Stablestrides PastSince Mar 27, 2022 Accepting new patients

Locations

13620 Halleluiah Trl
Elbert, CO 80106
Phone (719) 495-3908

Organizations & group practices 2

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1134878242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 WINDY PINE DR",
            "city": "ELBERT",
            "state": "CO",
            "postal_code": "801068874",
            "telephone_number": "719-726-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 HALLELUIAH TRAIL",
            "city": "ELBERT",
            "state": "CO",
            "postal_code": "80106",
            "telephone_number": "719-495-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "HOLLIE",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "0000000632",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "SWC-0000000632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elbert, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.