Active NPI
Christina Lynne Haag, ARNP
- Women's Health Nurse Practitioner
- Bedford, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 05772923
- Practice address
- 201 Riverway PL
Bedford, NH 03110-6763 - Phone
- (603) 668-8400
- Fax
- (603) 629-9346
- NPI assigned
- Sep 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 057729 23 | NH | |
| Women's Health Nurse Practitioner | 363LW0102X | 05772923 | NH | Primary |
Addresses
Primary practice location
201 Riverway PL
Bedford, NH 03110-6763
Mailing address
201 Riverway PL
Bedford, NH 03110-6763
Phone (603) 668-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30346186 | Medicaid | NH |
Other names 1
- Miss Christina Lynne Pherson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080108000100 | NH | Practitioner - Nurse Practitioner | 2163502832 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bedford Commons OB GYN PA
Practice addresses (Care Compare)
201 Riverway PL
Bedford, NH 03110-6763
Phone (603) 668-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05772923 | NH | MD | Women's Health Nurse Practitioner |
| 057729 23 | NH | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bedford Commons OB GYN PA | Current | Accepting new patients |
Locations
201 Riverway Pl
Bedford, NH 03110
Phone (603) 494-0682
6 Tsienneto Rd
Ste 202
Derry, NH 03038
Phone (603) 695-2560
6 Tsienneto Rd
Londonderry, NH 03038
Phone (603) 421-9959
49 Range Rd
Ste 109
Windham, NH 03087
Phone (603) 432-8802
Interoperability endpoints
- christinahaag@bcobgyn.allscriptsdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1548456015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 RIVERWAY PL",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106763",
"telephone_number": "603-668-8400",
"fax_number": "603-629-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 RIVERWAY PL",
"city": "BEDFORD",
"state": "NH",
"postal_code": "031106763",
"telephone_number": "603-668-8400",
"fax_number": "603-629-9346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAG",
"first_name": "CHRISTINA",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "NH",
"license": "057729 23",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NH",
"license": "05772923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30346186",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "PHERSON",
"middle_name": "LYNNE",
"prefix": "MISS",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bedford, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.