Christy Michelle Wilson-Eggburn, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A03410 APN Issued in AR

Practice address

209 N Blake St
Pine Bluff, AR 71601-3226

Phone

(870) 536-6600

NPI assigned

Sep 1, 2010

Last updated

Nov 9, 2010By the provider in NPPES

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

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Curana Health of Arkansas LLC

  • Nurse Practitioner
  • Bentonville, AR
  • NPI 1659750214

  Family

  Medicare reassignment NPD
• Raymed PA

  dba White Hall Walk In Clinic

  • Clinic/Center
  • White Hall, AR
  • NPI 1043692718
  NPD (past)

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1396052056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N BLAKE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716013226",
            "telephone_number": "870-536-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N BLAKE ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716013226",
            "telephone_number": "870-536-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-EGGBURN",
        "first_name": "CHRISTY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A03410 APN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy K Williams, M.D.
• Yolanda Williams
• Kimberly Rachelle Willis, MD
• Nicholas Willis, MD
• Brandy Wilson Reed, OTR
• Bridget Annette Wilson, PHARM D.
• Candace Wilson
• Eryn Nicole Wilson, MS, CF-SLP
• Rhonda Gail Wilson
• Rosalyn Wilson, CASE MANAGER PARAPRO

• Family Nurse Practitioner in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.