Christine R Gottman, A.N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

143038 Issued in MO

Practice address

13655 Riverport Dr
Maryland Heights, MO 63043-4812

Phone

(314) 592-7055

NPI assigned

Nov 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CJW Enterprises, Inc.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1477876423
  NPD

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1386972925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13655 RIVERPORT DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434812",
            "telephone_number": "314-592-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 RIVERPORT DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434812",
            "telephone_number": "314-592-7055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15740 S. Outer Fourty Road",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "63017",
            "country_code": "US",
            "telephone_number": "636-237-4705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTMAN",
        "first_name": "CHRISTINE",
        "middle_name": "R",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "143038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Laurice Gitman, FNP-C
• Halsey Glantz, PT, DPT, GCS
• Beth Marilyn Glenn, APRN
• Goldstar Laboratories Missouri LLC
• Mariaimee Gonzalez, PLPC
• Breanne Marie Gould, PA-C
• Erin Kathleen Gould, M.S.E., LPC
• Mitzie E Graeler, RN, CPNP
• Mitch Graumenz, PHARM. D
• Great Strides Behavioral Consulting, Inc.

• Adult Health Nurse Practitioner in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.