Individual provider Active NPI

Christina Ahearn, NP

  • Family Nurse Practitioner
  • Hammond, OR
National Provider Identifier
1417500372
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201905763NP-PP Issued in OR
Practice address
1089 Nautical Dr
Hammond, OR 97121-9101
Phone
(208) 985-6284
NPI assigned
Jul 19, 2019
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201905763NP-PP OR Primary

Addresses

Primary practice location

1089 Nautical Dr
Hammond, OR 97121-9101

Mailing address

PO Box 995
Saint Helens, OR 97051-0995
Phone (503) 397-4651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191125001373 OR Practitioner - Nurse Practitioner 9234562620 Reassigns benefits to 1 organization
I20260623001040 WA Practitioner - Nurse Practitioner 9234562620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5200 Virginia Way
Brentwood, TN 37027-7569

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201905763NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Health Services CurrentSince Aug 13, 2018 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients
Freedom Healthcare Inc PastSince May 1, 2022 Accepting new patients
Oregon Health & Science University PastSince Mar 31, 2026 Accepting new patients
Columbia Lutheran Charities Past Accepting new patients

Locations

28168 Old Rainier Rd
Rainier, OR 97048
Phone (503) 556-2178

1060 Eisenschmidt Ln
Saint Helens, OR 97051
Phone (503) 366-7645

2370 Gable Rd
Saint Helens, OR 97051
Phone (503) 397-4651

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1417500372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 995",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970510995",
            "telephone_number": "503-397-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 NAUTICAL DR",
            "city": "HAMMOND",
            "state": "OR",
            "postal_code": "971219101",
            "telephone_number": "208-985-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHEARN",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201905763NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, OR

Sources for this page

Verify at the official NPI Registry.