Active NPI
Christina Myers, RN
- Health Service Clinic/Center
- Urbana, IL
National Provider Identifier
1356475420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 41196113
- Practice address
- 1109 S Lincoln Ave
Urbana, IL 61801-4703 - Phone
- (217) 244-5344
- Fax
- (217) 244-1758
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 41196113 | IL | Primary |
Addresses
Primary practice location
1109 S Lincoln Ave
Urbana, IL 61801-4703
Mailing address
3042 E Stillwater LNDG
Unit # 201
Urbana, IL 61802-9452
Phone (217) 244-5344
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41196113 | IL | MD | Health Service Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1356475420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3042 E STILLWATER LNDG",
"address_2": "UNIT # 201",
"city": "URBANA",
"state": "IL",
"postal_code": "618029452",
"telephone_number": "217-244-5344",
"fax_number": "217-244-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1109 S LINCOLN AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618014703",
"telephone_number": "217-244-5344",
"fax_number": "217-244-1758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "CHRISTINA",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "IL",
"license": "41196113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.