Active NPI
Kristen L Christian
- Community Health Worker
- Sunland Park, NM
National Provider Identifier
1306468517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 3465 McNutt Rd
Sunland Park, NM 88063-9056 - Phone
- (575) 915-1338
- NPI assigned
- May 11, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
3465 McNutt Rd
Sunland Park, NM 88063-9056
Mailing address
3465 McNutt Rd
Sunland Park, NM 88063-9056
Phone (575) 915-1338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251S00000X | Medicaid | NM |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NM Family Services LLC | Community Health Worker | Past | Accepting new patients |
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": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1306468517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3465 MCNUTT RD",
"city": "SUNLAND PARK",
"state": "NM",
"postal_code": "880639056",
"telephone_number": "575-915-1338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3465 MCNUTT RD",
"city": "SUNLAND PARK",
"state": "NM",
"postal_code": "880639056",
"telephone_number": "575-915-1338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIAN",
"first_name": "KRISTEN",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-11",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251S00000X",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sunland Park, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.