Active NPI
Christine Oldenbourg
- Family Health Clinical Nurse Specialist
- Vacaville, CA
National Provider Identifier
1437589058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Health Clinical Nurse Specialist
- License
- 519960
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9901 | CA | MD | Orthopedic Physical Therapist |
| 519960 | CA | MD | Family 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.