NPIMap

Individual provider Active NPI

Christen Marie Janney, NP-C

  • Family Nurse Practitioner
  • Aztec, NM
National Provider Identifier
1659857902
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53277 Issued in NM
Practice address
120 Llano St
Aztec, NM 87410-2172
Phone
(505) 334-3404
Fax
(505) 334-3486
NPI assigned
Jul 18, 2018
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0996435-NP CO
Family Nurse Practitioner 363LF0000X 53277 NM Primary

Addresses

Primary practice location

120 Llano St
Aztec, NM 87410-2172

Mailing address

PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258

Other names 1

  • Christen Irby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181010002670 NM Practitioner - Nurse Practitioner 5294087748 Reassigns benefits to 1 organization
I20220103001375 CO Practitioner - Nurse Practitioner 5294087748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total HealthcareGroup PAC ID 1052214814, 27 clinicians

Practice addresses (Care Compare)

810 E 3Rd St
201 PRMN PC Mercy North
Durango, CO 81301-5759
Phone (970) 764-1790

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Healthcare CurrentSince Sep 21, 2021 Accepting new patients
Total Healthcare CurrentSince Sep 21, 2021 Accepting new patients
San Juan Regional Medical Center Inc Current Accepting new patients
Total Healthcare Current Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Sep 11, 2018 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Sep 11, 2018 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Total Healthcare Past Accepting new patients

Locations

480 Wolverine Dr
Ste 3
Bayfield, CO 81122
Phone (970) 764-9150

1 Mercado St
Ste 160
Durango, CO 81301
Phone (970) 385-9850

810 E 3rd St
Unit 201
Durango, CO 81301
Phone (970) 764-1790

120 Llano St
Aztec, NM 87410
Phone (505) 334-3404

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

Organizations & group practices 8

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 4

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1659857902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LLANO ST",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874102172",
            "telephone_number": "505-334-3404",
            "fax_number": "505-334-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANNEY",
        "first_name": "CHRISTEN",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996435-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "53277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTEN",
            "last_name": "IRBY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aztec, NM

Sources for this page

Verify at the official NPI Registry.