Individual provider Active NPI

Christine Oldenbourg

  • Family Health Clinical Nurse Specialist
  • Vacaville, CA
National Provider Identifier
1437589058
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
519960 Issued in CA
Practice address
1000 New Horizons Way
Vacaville, CA 95688-9431
Phone
(707) 454-5192
Fax
(707) 454-5026
NPI assigned
Nov 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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 519960 CA
Family Health Clinical Nurse Specialist 364SF0001X 519960 CA Primary

Addresses

Primary practice location

1000 New Horizons Way
Vacaville, CA 95688-9431

Mailing address

1000 New Horizons Way
Vacaville, CA 95688-9431
Phone (707) 454-5192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9901CAMDOrthopedic Physical Therapist
519960CAMDFamily Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384732800000",
    "number": "1437589058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEW HORIZONS WAY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889431",
            "telephone_number": "707-454-5192",
            "fax_number": "707-454-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEW HORIZONS WAY",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889431",
            "telephone_number": "707-454-5192",
            "fax_number": "707-454-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDENBOURG",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "519960",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CA",
            "license": "519960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.