Individual provider Active NPI

Christina L. Phares, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beckley, WV
National Provider Identifier
1689072605
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN77359NP Issued in WV
Practice address
101 S Eisenhower Dr
Beckley, WV 25801-4929
Phone
(304) 256-7100
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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 APRN77359NP WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN77359NP WV Primary

Addresses

Primary practice location

101 S Eisenhower Dr
Beckley, WV 25801-4929

Mailing address

127 Oakwood Cir
Fayetteville, WV 25840-6648
Phone (304) 763-8223

Other practice location 1

127 Oakwood Cir
Fayetteville, WV 25840-6648
Phone (304) 763-8223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20150724009902 WV Practitioner - Nurse Practitioner 5092028787 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
FMRS Health Systems IncGroup PAC ID 6406747914, 9 clinicians

Practice addresses (Care Compare)

101 S Eisenhower Dr
Beckley, WV 25801-4929
Phone (304) 256-7100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN77359NPWVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skyline Wound Care PLLC CurrentSince Dec 1, 2023 Accepting new patients
Christopher Grose DC Inc. CurrentSince May 2, 2015 Accepting new patients
Cathy Boyd Physical Medicine LLC Family CurrentSince May 2, 2015 Accepting new patients
FMRS Health Systems Inc CurrentSince Dec 16, 2024 Accepting new patients
Imagine Medispa Family PastSince Feb 1, 2023 Accepting new patients

Locations

7742 N Kendall Dr
Miami, FL 33156
Phone (305) 274-2403

101 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 252-8651

1804A Harper Rd
Beckley, WV 25801
Phone (304) 250-6047

209 W Maple Ave
Fayetteville, WV 25840
Phone (304) 574-2100

201 Madison St
Hinton, WV 25951
Phone (304) 466-3899

260 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-7527

55 Middle St
Union, WV 24983
Phone (304) 772-5452

Interoperability endpoints

  • Direct secure messaging: cphares@cgc-wv.direct.office.nextgen.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": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1689072605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 OAKWOOD CIR",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258406648",
            "telephone_number": "304-763-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S EISENHOWER DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014929",
            "telephone_number": "304-256-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 Oakwood Cir",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "WV",
            "postal_code": "258406648",
            "country_code": "US",
            "telephone_number": "304-763-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHARES",
        "first_name": "CHRISTINA",
        "middle_name": "L.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN77359NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "APRN77359NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.