Active NPI
Patrice Christie, PA-C
- Physician Assistant
- Xenia, OH
National Provider Identifier
1487693115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50000476
- Practice address
- 244 Wilson Dr
Xenia, OH 45385-1864 - Phone
- (937) 372-1602
- Fax
- (937) 372-0154
- NPI assigned
- Jun 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50000476 | OH | Primary |
Addresses
Primary practice location
244 Wilson Dr
Xenia, OH 45385-1864
Mailing address
244 Wilson Dr
Xenia, OH 45385-1864
Phone (937) 372-1602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000378966 | Other | OH | ANTHEM |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50000476 | OH | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1487693115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 WILSON DR",
"city": "XENIA",
"state": "OH",
"postal_code": "453851864",
"telephone_number": "937-372-1602",
"fax_number": "937-372-0154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 WILSON DR",
"city": "XENIA",
"state": "OH",
"postal_code": "453851864",
"telephone_number": "937-372-1602",
"fax_number": "937-372-0154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "PATRICE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50000476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000378966",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Xenia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.