NPIMap

Individual provider Active NPI

Christy T Johnson-Oliver, NP

  • Primary Care Nurse Practitioner
  • Blackstone, VA
National Provider Identifier
1609386465
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0024175489 Issued in VA
Practice address
213 N Main St
Blackstone, VA 23824-1425
Phone
(434) 292-7261
Fax
(434) 292-7965
NPI assigned
Oct 6, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0024175489 VA Primary

Addresses

Primary practice location

213 N Main St
Blackstone, VA 23824-1425

Mailing address

7229 Forest Ave Ste 112
Richmond, VA 23226-3765
Phone (804) 281-0275

Other identifiers 1

IdentifierTypeStateIssuer
C09633OtherVAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180212001169 VA Practitioner - Nurse Practitioner 8325308349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1508 K V Rd
Victoria, VA 23974-2624
Phone (434) 696-2165

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024175489VAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Dominion Health System, Inc. Current Accepting new patients
Crewe Medical Center Inc CurrentSince May 16, 2023 Accepting new patients
Southern Dominion Health System, Inc. CurrentSince Feb 17, 2025 Accepting new patients
Southern Dominion Health System, Inc. CurrentSince Feb 17, 2025 Accepting new patients
Bon Secours St Francis Medical Center LLC Past Accepting new patients
Crewe Medical Center Past Accepting new patients

Locations

8920 Otterburn Rd
Amelia Ct Hse, VA 23002
Phone (804) 288-8838

12522 W Colonial Trail Hwy
Crewe, VA 23930
Phone (434) 645-9191

13855 Courthouse Rd
Dinwiddie, VA 23841
Phone (804) 469-3731

510 N Main St
Emporia, VA 23847
Phone (434) 634-7723

1508 K V Rd
Victoria, VA 23974
Phone (434) 696-2165

Interoperability endpoints

  • Direct secure messaging: christyjohnson-oliver@sdhs.directbygreenway.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFEBA

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1609386465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 FOREST AVE STE 112",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263765",
            "telephone_number": "804-281-0275",
            "fax_number": "804-521-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N MAIN ST",
            "city": "BLACKSTONE",
            "state": "VA",
            "postal_code": "238241425",
            "telephone_number": "434-292-7261",
            "fax_number": "434-292-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-OLIVER",
        "first_name": "CHRISTY",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "VA",
            "license": "0024175489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C09633",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackstone, VA

Sources for this page

Verify at the official NPI Registry.