Individual provider Active NPI

Christina Marie Harvey-Brunswick, FNP-C

  • Family Nurse Practitioner
  • Klamath Falls, OR
National Provider Identifier
1154022705
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10005424 Issued in OR
Practice address
4304 El Cerrito Way
Klamath Falls, OR 97603-7786
Phone
(541) 331-1046
NPI assigned
Mar 10, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sky Lakes Medical Center Inc 196 clinicians

Practice addresses (Care Compare)

3001 Daggett Ave
Suite 101
Klamath Falls, OR 97601-1126
Phone (541) 274-8930

Hospital & facility affiliations

  • Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050
  • Modoc Medical Center Hospital, Alturas, CA, CCN 051330
  • Lake District Hospital Hospital, Lakeview, OR, CCN 381309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20230508000427 OR Practitioner - Nurse Practitioner 2163887571 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Apr 25, 2023 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Apr 25, 2023 Accepting new patients

Locations

3001 Daggett Ave
Ste 101
Klamath Falls, OR 97601
Phone (541) 274-8930

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

2421 Washburn Way
Klamath Falls, OR 97603
Phone (541) 274-6293

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10005424 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

4304 El Cerrito Way
Klamath Falls, OR 97603-7786

Mailing address

4304 El Cerrito Way
Klamath Falls, OR 97603-7786
Phone (541) 331-1046

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 20, 2023.

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1154022705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 EL CERRITO WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976037786",
            "telephone_number": "541-331-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 EL CERRITO WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976037786",
            "telephone_number": "541-331-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY-BRUNSWICK",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10005424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.