Active NPI
Christine Denison Roe, NP
- Family Nurse Practitioner
- Clifton Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 338753
- 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, 2020
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205206174 | Medicaid | WA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 338753 | NY | MD | Family Nurse Practitioner |
| AP60565547 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Current | Accepting new patients | |
| New York Oncology Hematology PC | Current | Accepting new patients | |
| St. Peter's Hospital of the City of Albany | Family | Current | Accepting new patients |
| St. Peter's Hospital of the City of Albany | Current | Accepting new patients | |
| New York Oncology Hematology, P.C. | Current | Accepting new patients | |
| St. Peter's Health Partners Medical Associates, P.C. | Current | 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.
-
dba Akira Medical Imaging and Wellness
- Hematology & Oncology Physician
- Albany, NY
- NPI 1609863448
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
-
dba St. Peter's Hospital
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
-
- Non-Pharmacy Dispensing Site
- Albany, NY
- NPI 1326466244
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Family
Hospital & facility affiliations 25
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
dba Albany Medical Center South Clinical Campus
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.