Individual provider Active NPI

Celeste Renee Christiansen, FNP

  • Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1407502420
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2871562 Issued in ID
Practice address
1120 S Rackham Way
Meridian, ID 83642-1092
Phone
(208) 577-8672
Fax
(208) 209-6058
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 6072992-3102 UT
Nurse Practitioner 363L00000X 2871562 ID Primary

Addresses

Primary practice location

1120 S Rackham Way
Meridian, ID 83642-1092

Mailing address

165 E Lakeview Dr
Clearfield, UT 84015-2394
Phone (801) 830-7227

Other practice location 1

3875 Stadium Way Dept 3903
Ogden, UT 84408-3903
Phone (801) 626-7833

Other names 1

  • Celeste Renee Ethington Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address celeste.christiansen@imail.org Direct Intermountain Healthcare

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20250812004651 ID Practitioner - Nurse Practitioner 4789182379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Valley Healthcare PLLCGroup PAC ID 4981028891, 2 clinicians

Practice addresses (Care Compare)

1120 S Rackham Way
Suite 300
Meridian, ID 83642-1092
Phone (208) 577-8672

5108 N Maidstone Way
Boise, ID 83713-1367

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6072992-3102UTMDRegistered Nurse
2871562IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Valley Healthcare PLLC CurrentSince Aug 1, 2025 Accepting new patients
Best Self Therapy PastSince Aug 3, 2025 Accepting new patients

Locations

1120 S Rackham Way
Meridian, ID 83642
Phone (208) 577-8672

Interoperability endpoints

  • Direct secure messaging: celeste.christiansen.1@33195.direct.athenahealth.com

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1407502420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 E LAKEVIEW DR",
            "city": "CLEARFIELD",
            "state": "UT",
            "postal_code": "840152394",
            "telephone_number": "801-830-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S RACKHAM WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421092",
            "telephone_number": "208-577-8672",
            "fax_number": "208-209-6058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3875 Stadium Way Dept 3903",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844083903",
            "country_code": "US",
            "telephone_number": "801-626-7833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "CELESTE",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "6072992-3102",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "2871562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "celeste.christiansen@imail.org",
            "affiliation": "Y",
            "endpointDescription": "Organization email",
            "affiliationName": "Intermountain Healthcare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "organizational email",
            "address_1": "4401 Harrison Blvd",
            "address_2": "Newborn Intensive Care Unit",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844033195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "ETHINGTON",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.