Christine Edmondson

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F401684 Issued in NY

Practice address

4904 19TH Ave
Astoria, NY 11105-1002

Phone

(134) 777-4729

NPI assigned

Apr 16, 2014

Last updated

Apr 16, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Welllife Network IncGroup PAC ID 0749179570, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Welllife Network Inc.,

  • Clinic/Center
  • Huntington, NY
  • NPI 1932125721
  Medicare reassignment Care Compare group NPD
• Arck Nurse Practitioner in Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hauppauge, NY
  • NPI 1700464682
  Medicare reassignment NPD
• Welllife Network Inc

  • Case Management Agency
  • Elmont, NY
  • NPI 1508012816
  NPD

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1477973519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018 CORAL REEF WAY",
            "city": "ARVERNE",
            "state": "NY",
            "postal_code": "116922011",
            "telephone_number": "718-288-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4904 19TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111051002",
            "telephone_number": "134-777-4729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F401684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylastarasia Josette Ebron, DOULA
• Erin Elizabeth Eby, PT, DPT
• Taylor Eckerman
• Soula Economou
• Edith
• Erica L. Edmund, FNP
• Juana I Edmunds, M.D.
• Edward Feliciano MD PC
• Effective Home Care L.L.C.
• Effective Home Care LLC

• Psychiatric/Mental Health Nurse Practitioner in Astoria, NY
• Providers in Astoria, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.