Active NPI
Christine L. Emmons, RNFA
- Medical-Surgical Registered Nurse
- Corvallis, OR
National Provider Identifier
1215051578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 090000466RN
- Practice address
- 2773 NW 9TH St
Corvallis, OR 97330-3857 - Phone
- (541) 207-0910
- Fax
- (541) 738-2596
- NPI assigned
- Mar 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 090000466RN | OR | Primary |
Addresses
Primary practice location
2773 NW 9TH St
Corvallis, OR 97330-3857
Mailing address
2773 NW 9TH St
Corvallis, OR 97330-3857
Phone (541) 207-0910
Other practice location 1
3620 NW Samaritan Dr
Suite 202
Corvallis, OR 97330-4714
Phone (541) 768-4810
Other practice location 2
845 SW 30th St
Corvallis, OR 97331-8629
Phone (541) 768-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023291 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cemmons6019@samhealth.direct-ci.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090000466RN | OR | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Hand Orthopaedics, P.C. | Current | Accepting new patients |
Locations
2773 NW 9th St
Corvallis, OR 97330
Phone (541) 207-0910
Interoperability endpoints
- https://api.platform.athenahealth.com/5569/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Orthopaedic Hand Surgery Physician
- Corvallis, OR
- NPI 1053669606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1215051578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2773 NW 9TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303857",
"telephone_number": "541-207-0910",
"fax_number": "541-738-2596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2773 NW 9TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303857",
"telephone_number": "541-207-0910",
"fax_number": "541-738-2596"
}
],
"practiceLocations": [
{
"address_1": "3620 NW Samaritan Dr",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973304714",
"country_code": "US",
"telephone_number": "541-768-4810",
"fax_number": "541-768-4813",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "845 SW 30th St",
"address_purpose": "LOCATION",
"city": "Corvallis",
"state": "OR",
"postal_code": "973318629",
"country_code": "US",
"telephone_number": "541-768-7700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMMONS",
"first_name": "CHRISTINE",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "OR",
"license": "090000466RN",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023291",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cemmons6019@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "845 SW 30th St",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973318629",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.