Individual provider Active NPI

Corryn Rae Christy, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Zanesville, OH
National Provider Identifier
1407342272
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.023223 Issued in OH
Practice address
930 Bethesda Dr
Zanesville, OH 43701-0815
Phone
(740) 569-5737
NPI assigned
Jul 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN.434612 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.023223 OH Primary

Addresses

Primary practice location

930 Bethesda Dr
Zanesville, OH 43701-0815

Mailing address

2531 Jewett Rd
Powell, OH 43065-8986
Phone (614) 212-3538

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20180919000879 OH Practitioner - Nurse Practitioner 3779767124 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.434612OHMDPsychiatric/Mental Health Registered Nurse
APRN.CNP.023223OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Behavioral Health LLC CurrentSince May 1, 2019 Accepting new patients

Locations

1515 E Broad St
Columbus, OH 43205
Phone (614) 251-6941

975 Bethesda Dr
Bldg 7
Zanesville, OH 43701
Phone (740) 452-4539

930 Bethesda Dr
Unit 4
Zanesville, OH 43701
Phone (740) 455-6202

930 Bethesda Dr
Zanesville, OH 43701
Phone (740) 452-4848

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/midohiobh/r4/

Organizations & group practices 2

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": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1407342272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 JEWETT RD",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658986",
            "telephone_number": "614-212-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010815",
            "telephone_number": "740-569-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTY",
        "first_name": "CORRYN",
        "middle_name": "RAE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.434612",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.023223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.