Individual provider Active NPI

Christine Denison Roe, NP

  • Family Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1205206174
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338753 Issued in NY
Practice address
3 Crossings Blvd
Suite One
Clifton Park, NY 12065
Phone
(518) 831-4434
Fax
(518) 831-4439
NPI assigned
Oct 4, 2015
Last updated
Aug 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60565547 WA
Family Nurse Practitioner 363LF0000X 338753 NY Primary

Addresses

Primary practice location

3 Crossings Blvd
Suite One
Clifton Park, NY 12065

Mailing address

449 Route 146 Ste 101
Halfmoon, NY 12065-3239
Phone (518) 373-3924

Other practice location 1

317 S Manning Blvd Ste 100
Albany, NY 12208-3917
Phone (518) 525-1404

Other practice location 2

1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-5637

Other practice location 3

317 S Manning Blvd Ste 220
Albany, NY 12208-1739
Phone (518) 525-6418

Other practice location 4

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 271-3775

Other practice location 5

1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-5637

Other practice location 6

1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 268-5060

Other identifiers 1

IdentifierTypeStateIssuer
1205206174MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171206001764 NY Practitioner - Nurse Practitioner 4385944370 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Oncology Hematology PCGroup PAC ID 3072406222, 82 clinicians

Practice addresses (Care Compare)

3 Crossing Blvd
Suite 1
Clifton Park, NY 12065-4154
Phone (518) 831-4434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338753NYMDFamily Nurse Practitioner
AP60565547WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York CurrentSince Jan 27, 2019 Accepting new patients
New York Oncology Hematology PC CurrentSince Aug 31, 2020 Accepting new patients
St. Peter's Hospital of the City of Albany Family CurrentSince Dec 4, 2017 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Dec 4, 2017 Accepting new patients
New York Oncology Hematology, P.C. CurrentSince Aug 31, 2020 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Dec 4, 2017 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

317 S Manning Blvd
Ste 100
Albany, NY 12208
Phone (518) 525-1404

317 S Manning Blvd
Ste 220
Albany, NY 12208
Phone (518) 525-6418

1 Tallow Wood Dr
Clifton Park, NY 12065
Phone (518) 373-4444

3 Crossing Blvd
Ste 1
Halfmoon, NY 12065
Phone (518) 831-4434

449 Route 146
#101
Halfmoon, NY 12065
Phone (518) 373-3800

69 Prospect Ave
Hudson, NY 12534
Phone (212) 459-8173

2 Empire Dr
Ste 202
Rensselaer, NY 12144
Phone (518) 286-4990

896 Riverview Rd
Rexford, NY 12148
Phone (518) 399-4600

1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000

147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1205206174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 ROUTE 146 STE 101",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120653239",
            "telephone_number": "518-373-3924",
            "fax_number": "518-373-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CROSSINGS BLVD",
            "address_2": "SUITE ONE",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-831-4434",
            "fax_number": "518-831-4439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 S Manning Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083917",
            "country_code": "US",
            "telephone_number": "518-525-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-598-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 S Manning Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081739",
            "country_code": "US",
            "telephone_number": "518-525-6418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-271-3775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-598-5637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-268-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROE",
        "first_name": "CHRISTINE",
        "middle_name": "DENISON",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-04",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60565547",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205206174",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.