Active NPI
Christina M Hartley, CNP
- Family Nurse Practitioner
- Logan, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0029114
- Practice address
- 12906 State Route 664 S Ste A6
Logan, OH 43138-9262 - Phone
- (740) 216-5028
- Fax
- (740) 216-5031
- NPI assigned
- Jul 29, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0029114 | OH | Primary |
Addresses
Primary practice location
12906 State Route 664 S Ste A6
Logan, OH 43138-9262
Mailing address
211 Edgefield Blvd
Marion, OH 43302-5801
Phone (740) 914-4178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0029114 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Incare Health Solutions, LLC | Multi-Specialty | Current | Accepting new patients |
| Incare Health Solutions LLC | Multi-Specialty | Current | Accepting new patients |
Locations
12906 State Route 664 S
Ste A6
Logan, OH 43138
Phone (740) 216-5028
211 Edgefield Blvd
Marion, OH 43302
7450 State Route 161 E
Plain City, OH 43064
Phone (614) 504-5002
2562 W Market St
Tiffin, OH 44883
Phone (567) 938-8008
3597 E Main St
Whitehall, OH 43213
Phone (614) 549-7348
Organizations & group practices 2
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.
-
- Primary Care Nurse Practitioner
- Ontario, OH
- NPI 1639621824
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627516800000",
"number": "1245903897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 EDGEFIELD BLVD",
"city": "MARION",
"state": "OH",
"postal_code": "433025801",
"telephone_number": "740-914-4178",
"fax_number": "740-386-2640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12906 STATE ROUTE 664 S STE A6",
"city": "LOGAN",
"state": "OH",
"postal_code": "431389262",
"telephone_number": "740-216-5028",
"fax_number": "740-216-5031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLEY",
"first_name": "CHRISTINA",
"middle_name": "M",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2021-07-29",
"certification_date": "2021-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0029114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.