Active NPI
Christina Marie Harvey-Brunswick, FNP-C
- Family Nurse Practitioner
- Klamath Falls, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 10005424
- 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.
-
- Community/Retail Pharmacy
- Klamath Falls, OR
- NPI 1003654625
-
- Home Health Agency
- Klamath Falls, OR
- NPI 1568417103
-
- Community/Retail Pharmacy
- Klamath Falls, OR
- NPI 1841704459
-
- Community/Retail Pharmacy
- Klamath Falls, OR
- NPI 1912311986
-
- Health Service Clinic/Center
- Klamath Falls, OR
- NPI 1962000661
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
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
- Modoc Medical Center
- Lake District Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Sky Lakes Medical Center Inc | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 10005424 | OR | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.