Individual provider Active NPI

Christie Lyn Jurena, MPH, RN, MS, WHNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Lynn, MA
National Provider Identifier
1265678536
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
278008 Issued in MA
Practice address
480 Lynnfield St
Lynn, MA 01904-1419
Phone
(781) 595-4800
NPI assigned
Dec 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 278008 MA Primary

Addresses

Primary practice location

480 Lynnfield St
Lynn, MA 01904-1419

Mailing address

480 Lynnfield St
Lynn, MA 01904-1419
Phone (781) 595-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170202002272 MA Practitioner - Nurse Practitioner 8426331125 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imperatives Inc. CurrentSince Dec 14, 2016 Accepting new patients
Health Imperatives Inc. CurrentSince Dec 14, 2016 Accepting new patients

Locations

942 W Chestnut St
#46
Brockton, MA 02301
Phone (508) 583-3005

111 Torrey St
Brockton, MA 02301
Phone (508) 584-5190

942 W Chestnut St
Brockton, MA 02301
Phone (508) 583-3005

210 Winter St
Ste 204
Weymouth, MA 02188
Phone (781) 335-1404

Interoperability endpoints

  • Direct secure messaging: christie.jurena.1@1344.direct.athenahealth.com
  • Direct secure messaging: christie.jurena.1@29536.direct.athenahealth.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1265678536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 LYNNFIELD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041419",
            "telephone_number": "781-595-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 LYNNFIELD ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019041419",
            "telephone_number": "781-595-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURENA",
        "first_name": "CHRISTIE",
        "middle_name": "LYN",
        "credential": "MPH, RN, MS, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MA",
            "license": "278008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.