Christine L Norwood, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP390A Issued in ID

Practice address

1522 17TH St
Lewiston, ID 83501-3652

Phone

(208) 743-8416

Fax

(208) 743-4642

NPI assigned

Jan 15, 2007

Last updated

Aug 18, 2021By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1396896494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835010341",
            "telephone_number": "208-743-8416",
            "fax_number": "208-743-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 17TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835013652",
            "telephone_number": "208-743-8416",
            "fax_number": "208-743-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORWOOD",
        "first_name": "CHRISTINE",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP390A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806351300",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christine.norwood@tsmh.medicity.net",
            "affiliation": "N",
            "address_1": "1522 17th St",
            "city": "Lewiston",
            "state": "ID",
            "country_code": "US",
            "postal_code": "835013652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Nurse Practitioner in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.