Active NPI
Christina Coley, NP
- Family Nurse Practitioner
- Temple, TX
National Provider Identifier
1336242619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 09458-NP
- Practice address
- 1602 W Avenue a
Temple, TX 76504-4080 - Phone
- (254) 899-2225
- Fax
- (254) 899-2225
- NPI assigned
- Sep 5, 2006
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9700811 | NC | |
| Family Nurse Practitioner | 363LF0000X | 09458-NP | OH | Primary |
Addresses
Primary practice location
1602 W Avenue a
Temple, TX 76504-4080
Mailing address
1602 W Avenue a
Temple, TX 76504-4080
Phone (254) 899-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9700811 | Other | NC | STATE LICENSE NUMBER |
| COA.09458-NP | Other | OH | STATE LICENSE NUMBER |
Other names 1
- Christina Stevenson
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09458-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Emergency Physicians, Inc. | Past | Accepting new patients |
Interoperability endpoints
- christina.coley.1@13464.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1154567220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1336242619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 W AVENUE A",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765044080",
"telephone_number": "254-899-2225",
"fax_number": "254-899-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 W AVENUE A",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765044080",
"telephone_number": "254-899-2225",
"fax_number": "254-899-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEY",
"first_name": "CHRISTINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "9700811",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "09458-NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "9700811",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "COA.09458-NP",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "STEVENSON",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.