Individual provider Active NPI

Christine Marie Harbaugh, NP

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1427259829
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN125164NP Issued in GA
Practice address
490 Bill Kennedy Way SE
Suite 101
Atlanta, GA 30316-6835
Phone
(404) 446-4726
Fax
(404) 446-4727
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN125164NP GA Primary

Addresses

Primary practice location

490 Bill Kennedy Way SE
Suite 101
Atlanta, GA 30316-6835

Mailing address

490 Bill Kennedy Way SE
Suite 101
Atlanta, GA 30316-6835
Phone (404) 446-4726

Other identifiers 1

IdentifierTypeStateIssuer
000912909MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN125164NPGAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intown Pediatric and Adolescent Medicine Past Accepting new patients
Intown Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JFACAA

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1427259829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 BILL KENNEDY WAY SE",
            "address_2": "SUITE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303166835",
            "telephone_number": "404-446-4726",
            "fax_number": "404-446-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 BILL KENNEDY WAY SE",
            "address_2": "SUITE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303166835",
            "telephone_number": "404-446-4726",
            "fax_number": "404-446-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBAUGH",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN125164NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000912909",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.