Active NPI
Christine Marie Sabin, PA
- Physician Assistant
- Grand Rapids, MI
National Provider Identifier
1295051076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601005753
- Practice address
- 200 Jefferson Ave SE
Grand Rapids, MI 49503-4502 - Phone
- (616) 685-6225
- Fax
- (616) 222-3766
- NPI assigned
- Apr 19, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601005753 | MI | Primary |
Addresses
Primary practice location
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Mailing address
1900 44TH St SE
Kentwood, MI 49508-5008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Partners | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Advantage Health/Saint Mary'S Medical Group | Current | Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Physician Assistant | Current | Accepting new patients |
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Physician Assistant | Past | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000
Organizations & group practices 8
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.
-
- General Practice Physician
- Grand Rapids, MI
- NPI 1851309884
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
-
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
Physician Assistant
-
- Urgent Care Clinic/Center
- Hudsonville, MI
- NPI 1538430533
-
- Family Medicine Physician
- Whitehall, MI
- NPI 1801208087
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1386015683
-
- Physician Assistant
- Grand Rapids, MI
- NPI 1376554519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1295051076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 44TH ST SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495085008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JEFFERSON AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034502",
"telephone_number": "616-685-6225",
"fax_number": "616-222-3766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SABIN",
"first_name": "CHRISTINE",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-19",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601005753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.