Individual provider Active NPI

Christine Lopez, RN

  • Home Health Registered Nurse
  • Peoria, AZ
National Provider Identifier
1366164147
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
228501 Issued in AZ
Practice address
9242 W Union Hills Dr Ste 102
Peoria, AZ 85382-8219
Phone
(602) 884-6007
Fax
(844) 888-1174
NPI assigned
Sep 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 228501 AZ Primary

Addresses

Primary practice location

9242 W Union Hills Dr Ste 102
Peoria, AZ 85382-8219

Mailing address

9686 W Oberlin Way
Peoria, AZ 85383-8750
Phone (708) 714-2383

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

LicenseStateTypeSpecialty
228501AZMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Home Health LLC Home Health Current Accepting new patients

Locations

9242 W Union Hills Dr
Ste 102
Peoria, AZ 85382
Phone (602) 492-4427

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": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1366164147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9686 W OBERLIN WAY",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853838750",
            "telephone_number": "708-714-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9242 W UNION HILLS DR STE 102",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828219",
            "telephone_number": "602-884-6007",
            "fax_number": "844-888-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CHRISTINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AZ",
            "license": "228501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.