Individual provider Active NPI

Christine L. Emmons, RNFA

  • Medical-Surgical Registered Nurse
  • Corvallis, OR
National Provider Identifier
1215051578
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
090000466RN Issued in OR
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

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
023291MedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
090000466RNORMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Hand Orthopaedics, P.C. CurrentSince May 25, 2021 Accepting new patients

Locations

2773 NW 9th St
Corvallis, OR 97330
Phone (541) 207-0910

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.