Individual provider Active NPI

Christiana Limounge Billedalley

  • Psychiatric/Mental Health Nurse Practitioner
  • Marana, AZ
National Provider Identifier
1619631959
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
272280 Issued in AZ
Practice address
13395 N Marana Main St BLDG B
Marana, AZ 85653-7008
Phone
(520) 682-1091
Fax
(520) 682-4132
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 272280 AZ Primary

Addresses

Primary practice location

13395 N Marana Main St BLDG B
Marana, AZ 85653-7008

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-1091

Other practice location 1

380 E Fort Lowell Rd
Tucson, AZ 85705-3985
Phone (520) 202-1786

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL HIE Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220407000758 AZ Practitioner - Nurse Practitioner 7214069970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians

Practice addresses (Care Compare)

13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111

3690 S Park Ave
Suite 805
Tucson, AZ 85713-5042
Phone (520) 616-6760

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272280AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Health, Recovery & Wellness, Inc. CurrentSince Apr 1, 2022 Accepting new patients
Codac Health Recovery and Wellness CurrentSince Apr 1, 2022 Accepting new patients
Codac Health Recovery and Wellness Current Accepting new patients
Marana Health Center Inc CurrentSince Oct 4, 2024 Accepting new patients
Marana Health Center, Inc CurrentSince Oct 4, 2024 Accepting new patients

Locations

13395 N Marana Main St
Bldg B
Marana, AZ 85653
Phone (520) 682-1091

380 E Fort Lowell Rd
Tucson, AZ 85705
Phone (520) 202-1786

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960

4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359

Interoperability endpoints

  • Direct secure messaging: christiana.billedalley.1@32652.direct.athenahealth.com

Organizations & group practices 5

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": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1619631959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-1091",
            "fax_number": "520-682-4132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13395 N MARANA MAIN ST BLDG B",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856537008",
            "telephone_number": "520-682-1091",
            "fax_number": "520-682-4132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 E Fort Lowell Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857053985",
            "country_code": "US",
            "telephone_number": "520-202-1786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILLEDALLEY",
        "first_name": "CHRISTIANA",
        "middle_name": "LIMOUNGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "272280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HIE",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "CODAC 380 E fort lowell",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marana, AZ

Sources for this page

Verify at the official NPI Registry.