Christina Camielle Bannow, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

BANN-S7DA1G Issued in NC

Practice address

102B Medical Dr
Elizabeth City, NC 27909-3361

Phone

(252) 335-0803

NPI assigned

Nov 21, 2017

Last updated

May 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NC

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manuli Internal Medicine PLLCGroup PAC ID 9032137690, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Albemarle Home Care and Hospice Home health agency, Elizabeth City, NC, CCN 347017
• Sentara Albemarle Medical Center Hospital, Elizabeth City, NC, CCN 340109

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.

• Manuli Internal Medicine, PLLC

  • Internal Medicine Physician
  • Elizabeth City, NC
  • NPI 1235333584
  Medicare reassignment Care Compare group NPD
• BHG Lxxxi, LLC

  dba BHG Medical Services - North Carolina

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Elizabeth City, NC
  • NPI 1457067720
  NPD
• BHG Lxxxi, LLC

  dba BHG Medical Services - North Carolina

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Asheville, NC
  • NPI 1841900842
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Msa Home Health and Hospice of NC Inc

  dba Albemarle Home Care and Hospice

  • Home Health Agency
  • Elizabeth City, NC
  • NPI 1588037980
  Care Compare affiliation
• Sentara Albemarle Regional Medical Center

  dba Sentara Albemarle Medical Center

  • General Acute Care Hospital
  • Elizabeth City, NC
  • NPI 1245211168
  Care Compare affiliation

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1497269872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102B MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-335-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102B MEDICAL DR",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093361",
            "telephone_number": "252-335-0803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Tiara Ct",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279097782",
            "country_code": "US",
            "telephone_number": "252-312-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANNOW",
        "first_name": "CHRISTINA",
        "middle_name": "CAMIELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "BANN-S7DA1G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talyah Badarie
• Nykea Lashawn Bailey, LCMHCA
• Cheryl Overton Baker, PHARMD
• Jason Andrew Banks, DDS
• Marie Annette Banks, AA. HHA,
• Shea Barbe, RBT
• Devin Waine Barlowe, PHARMD
• Erin Faye Barnes
• Felicia Ann Barnes, CRC
• Quinetta Cheryl Barnes, LCSWA

• Family Nurse Practitioner in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.