Individual provider Active NPI

Christina Averhart, LMT, LPN, CLC, LLP

  • Lactation Consultant (Non-RN)
  • Albuquerque, NM
National Provider Identifier
1144864778
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
55425 Issued in NM
Practice address
6739 Academy Rd NE Ste 250
Albuquerque, NM 87109-3357
Phone
(850) 603-1806
NPI assigned
Nov 6, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN-23460 NM
Massage Therapist 225700000X MT9150 NM
Massage Therapist 225700000X MA51432 FL
Lactation Consultant (Non-RN) 174N00000X 55425 NM Primary

Addresses

Primary practice location

6739 Academy Rd NE Ste 250
Albuquerque, NM 87109-3357

Mailing address

4336 Bentgrass MDWS NE
Rio Rancho, NM 87144-5686
Phone (850) 603-1806

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
LPN-23460NMMDLicensed Practical Nurse
55425NMMDLactation Consultant (Non-RN)
MA51432FLMDMassage Therapist
MT9150NMMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1144864778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4336 BENTGRASS MDWS NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445686",
            "telephone_number": "850-603-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 ACADEMY RD NE STE 250",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093357",
            "telephone_number": "850-603-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERHART",
        "first_name": "CHRISTINA",
        "credential": "LMT, LPN, CLC, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NM",
            "license": "LPN-23460",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "MT9150",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA51432",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NM",
            "license": "55425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.