Individual provider Active NPI

Christie Renee Pinolini, MSN,APN,FNP-BC

  • Family Nurse Practitioner
  • Palm City, FL
National Provider Identifier
1578814596
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9348740 Issued in FL
Practice address
2903 SW Butterfly LN
Palm City, FL 34990-8217
Phone
(609) 513-3818
Fax
(772) 324-8083
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NO12364600 NJ
Family Nurse Practitioner 363LF0000X 26NJ00401000 NJ
Family Nurse Practitioner 363LF0000X ARNP9348740 FL Primary

Addresses

Primary practice location

2903 SW Butterfly LN
Palm City, FL 34990-8217

Mailing address

2903 SW Butterfly LN
Palm City, FL 34990-8217
Phone (609) 513-3818

Other names 1

  • Miss Christie Renee Wombough Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20251215001511 FL Order and Referring Only - Nurse Practitioner 0345493094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NO12364600NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Christiecare, LLC Family CurrentSince Mar 22, 2019 Accepting new patients
Atlantic Emergency Associates, PA PastSince Feb 8, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16363/brand/1/csg/1/fhir/r4
  • Direct secure messaging: christie.pinolini@237407481626628.direct.elationemr.com

Organizations & group practices 2

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": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578814596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 SW BUTTERFLY LN",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908217",
            "telephone_number": "609-513-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 SW BUTTERFLY LN",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349908217",
            "telephone_number": "609-513-3818",
            "fax_number": "772-324-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINOLINI",
        "first_name": "CHRISTIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MSN,APN,FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO12364600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00401000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9348740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "WOMBOUGH",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.