NPIMap

Individual provider Active NPI

Jeanine Louise Christian-Latouche, CRNA

  • Certified Registered Nurse Anesthetist
  • Myrtle Beach, SC
National Provider Identifier
1366997140
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
20500 Issued in SC
Practice address
7900 N Kings Hwy
Myrtle Beach, SC 29572-3055
Phone
(843) 449-3381
Fax
(843) 449-9721
NPI assigned
Aug 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 20500 SC Primary

Addresses

Primary practice location

7900 N Kings Hwy
Myrtle Beach, SC 29572-3055

Mailing address

7900 N Kings Hwy
Myrtle Beach, SC 29572-3055
Phone (843) 449-3381

Other names 1

  • Jeanine Louise Christian Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170124000752 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 1557643749 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone (843) 347-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
20500SCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach Anesthesia, LLC CurrentSince Nov 1, 2016 Accepting new patients
Strand Gi Associates PA CurrentSince Jun 7, 2019 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2019 Accepting new patients

Locations

109 Blarney Dr
Columbia, SC 29223
Phone (803) 865-8200

300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

945 82nd Pkwy
Ste 3A
Myrtle Beach, SC 29572
Phone (843) 449-3381

7900 N Kings Hwy
Myrtle Beach, SC 29572
Phone (843) 449-3381

2669 Kinard St
Newberry, SC 29108
Phone (803) 276-7570

Organizations & group practices 3

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1366997140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723055",
            "telephone_number": "843-449-3381",
            "fax_number": "843-449-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 N KINGS HWY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295723055",
            "telephone_number": "843-449-3381",
            "fax_number": "843-449-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN-LATOUCHE",
        "first_name": "JEANINE",
        "middle_name": "LOUISE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "SC",
            "license": "20500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANINE",
            "last_name": "CHRISTIAN",
            "middle_name": "LOUISE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.