Christina Ann Counceller

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

7327777 Issued in NY

Practice address

6731 Springdale CT
Victor, NY 14564

Phone

(503) 332-8557

NPI assigned

Jan 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Christina Ann Counceller Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534636800000",
    "number": "1447768320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 SPRINGDALE CT",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649556",
            "telephone_number": "503-332-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 SPRINGDALE CT",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "14564",
            "telephone_number": "503-332-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNCELLER",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2018-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "7327777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "COUNCELLER",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kaitlyn Coon, LMSW
• Amanda Kathryn Corrado
• Suzanne Teresa Corsall
• Linda Louise Cortright, RN
• Tallynn Victoria Marie Corwin
• Counseling Services LCSW PLLC
• Tracey Cox, LMHC
• Jordan Leigh Coykendall, NP
• Tanya Crandall
• Karen M Crawford

• Critical Care Medicine Registered Nurse in Victor, NY
• Providers in Victor, NY by specialty
• Critical Care Medicine Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2018; 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.