Active NPI
Christine Elizabeth Decker, RN
- Community/Behavioral Health Agency
- Galesburg, MI
National Provider Identifier
1205357803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- AF390384856
- Practice address
- 9914 E ML Ave
Galesburg, MI 49053-8723 - Phone
- (269) 598-7923
- Fax
- (269) 665-5007
- NPI assigned
- Jul 5, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | AF390384856 | MI | Primary |
Addresses
Primary practice location
9914 E ML Ave
Galesburg, MI 49053-8723
Mailing address
9914 E ML Ave
Galesburg, MI 49053-8723
Phone (269) 598-7923
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AF390384856 | Other | MI | MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AF390384856 | MI | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1205357803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9914 E ML AVE",
"city": "GALESBURG",
"state": "MI",
"postal_code": "490538723",
"telephone_number": "269-598-7923",
"fax_number": "269-665-5007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9914 E ML AVE",
"city": "GALESBURG",
"state": "MI",
"postal_code": "490538723",
"telephone_number": "269-598-7923",
"fax_number": "269-665-5007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "CHRISTINE",
"middle_name": "ELIZABETH",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "AF390384856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS",
"identifier": "AF390384856",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Galesburg, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.