Active NPI
Christine Sanborn, CNP
- Pediatric Nurse Practitioner
- Wooster, OH
National Provider Identifier
1174705750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APRN.CNP.10063
- Practice address
- 128 E Milltown Rd Ste 209
Wooster, OH 44691-1276 - Phone
- (330) 345-1100
- Fax
- (330) 345-1194
- NPI assigned
- Dec 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 4704190607 | MI | |
| Pediatric Nurse Practitioner | 363LP0200X | APRN.CNP.10063 | OH | Primary |
Addresses
Primary practice location
128 E Milltown Rd Ste 209
Wooster, OH 44691-1276
Mailing address
1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 345-1100
Other names 1
- Christine Lee
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704190607 | MI | MD | Pediatric Nurse Practitioner |
| APRN.CNP.10063 | OH | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Current | Accepting new patients | |
| Health Specialists of Lenawee, P.C. | Past | Accepting new patients | |
| Dr. Shelly David Senders, MD, Inc | Past | Accepting new patients | |
| Health Specialists of Lenawee P C | Past | Accepting new patients |
Locations
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
128 E Milltown Rd
Ste 209
Wooster, OH 44691
Phone (330) 345-1100
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.
-
- Pediatrics Physician
- Akron, OH
- NPI 1841328853
-
- Anesthesiology Physician
- Boardman, OH
- NPI 1417257601
-
- Home Infusion Agency
- Akron, OH
- NPI 1649485848
-
- Pediatrics Physician
- South Euclid, OH
- NPI 1033381462
-
- Specialist
- Tecumseh, MI
- NPI 1922185305
-
- Specialist
- Tecumseh, MI
- NPI 1184802886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1174705750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063",
"telephone_number": "330-345-1100",
"fax_number": "330-345-1194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 E MILLTOWN RD STE 209",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446911276",
"telephone_number": "330-345-1100",
"fax_number": "330-345-1194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANBORN",
"first_name": "CHRISTINE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-05",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MI",
"license": "4704190607",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "OH",
"license": "APRN.CNP.10063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "LEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.