Christian Connor Hall, C.P.N.P

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5004029 Issued in NC

Practice address

114 Kinderton Blvd
Advance, NC 27006-7302

Phone

(336) 998-9742

NPI assigned

Jan 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1205074333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DR",
            "address_2": "SUITE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627008",
            "telephone_number": "336-802-2400",
            "fax_number": "336-802-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 KINDERTON BLVD",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067302",
            "telephone_number": "336-998-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHRISTIAN",
        "middle_name": "CONNOR",
        "credential": "C.P.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5004029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather L Gladd, MS., CCC-SLP
• Amanda Janel Goad, NP
• Carol Derosa Grabow, PA-C
• Kathy Lynn Gross, M.D.
• Chad Richard Hall, LPTA
• Lindsay Tatum Hartman, NP
• Thomas Dustin Hayes, PHARM.D.
• Aubrey Allen Hess, MD
• Jaclyn Hess, MD
• Suzanne Powell Hess, M.D.

• Pediatric Nurse Practitioner in Advance, NC
• Providers in Advance, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.