Individual provider Active NPI

Christina Lynn Hall, LPN

  • Licensed Vocational Nurse
  • Blairsville, PA
National Provider Identifier
1275106916
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
PN274854 Issued in PA
Practice address
1984 Route 22 Hwy W
Blairsville, PA 15717-1264
Phone
(724) 459-4884
NPI assigned
Jul 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X PN274854 PA Primary

Addresses

Primary practice location

1984 Route 22 Hwy W
Blairsville, PA 15717-1264

Mailing address

1984 Route 22 Hwy W
Blairsville, PA 15717-1264
Phone (724) 459-4884

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
PN274854PAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medmark Treatment Centers of Pennsylvania, Inc. CurrentSince Jul 25, 2021 Accepting new patients
Medical Technical Rehabilitation LLC PastSince Jul 25, 2021 Accepting new patients

Locations

1984 Route 22 Hwy W
Blairsville, PA 15717
Phone (724) 459-4884

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1275106916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 ROUTE 22 HWY W",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171264",
            "telephone_number": "724-459-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 ROUTE 22 HWY W",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171264",
            "telephone_number": "724-459-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "CHRISTINA",
        "middle_name": "LYNN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "PA",
            "license": "PN274854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blairsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.