Active NPI
Christopher Pollock, RN
- Registered Nurse
- Worden, IL
National Provider Identifier
1467844985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2004017950
- Practice address
- 1843 Sextant Dr
Worden, IL 62097-2245 - Phone
- (314) 324-8534
- NPI assigned
- Feb 19, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2004017950 | MO | Primary |
Addresses
Primary practice location
1843 Sextant Dr
Worden, IL 62097-2245
Mailing address
1843 Sextant Dr
Worden, IL 62097-2245
Phone (314) 324-8534
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004017950 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1467844985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1843 SEXTANT DR",
"city": "WORDEN",
"state": "IL",
"postal_code": "620972245",
"telephone_number": "314-324-8534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1843 SEXTANT DR",
"city": "WORDEN",
"state": "IL",
"postal_code": "620972245",
"telephone_number": "314-324-8534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOCK",
"first_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-19",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2004017950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worden, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.