Active NPI
Christopher Banks
- Registered Nurse
- Winslow, AZ
National Provider Identifier
1356742357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 217197
- Practice address
- 500 Indiana Ave
Winslow, AZ 86047-2169 - Phone
- (928) 289-6230
- NPI assigned
- Sep 9, 2014
- Last updated
- Sep 9, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 217197 | SC | Primary |
Addresses
Primary practice location
500 Indiana Ave
Winslow, AZ 86047-2169
Mailing address
500 Indiana Ave
Winslow, AZ 86047-2169
Phone (928) 289-6230
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
| License | State | Type | Specialty |
|---|---|---|---|
| 217197 | SC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1356742357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 INDIANA AVE",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860472169",
"telephone_number": "928-289-6230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 INDIANA AVE",
"city": "WINSLOW",
"state": "AZ",
"postal_code": "860472169",
"telephone_number": "928-289-6230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-09",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "217197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winslow, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.