Christie D. Shore, A.R.N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1300302 Issued in FL

Practice address

10501 Fgcu Blvd S
Student Health Center/Fgcu
Fort Myers, FL 33965-6502

Phone

(239) 590-7966

Fax

(239) 590-7968

NPI assigned

Jul 1, 2005

Last updated

Jan 13, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294876800000",
    "number": "1558368753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 WINKLER AVENUE EXT",
            "address_2": "APT. 524",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339167739",
            "telephone_number": "239-936-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 FGCU BLVD S",
            "address_2": "STUDENT HEALTH CENTER/FGCU",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339656502",
            "telephone_number": "239-590-7966",
            "fax_number": "239-590-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE",
        "first_name": "CHRISTIE",
        "middle_name": "D.",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2011-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "1300302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Women's Health Nurse Practitioner in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.