Christina Mayberry, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041467744 Issued in IL

Practice address

130 W 7TH St
Mount Carmel, IL 62863-1439

Phone

(618) 263-3873

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Natural Nourish LLC

  • Lactation Consultant (Registered Nurse)
  • Allendale, IL
  • NPI 1508511619
  NPD Authorized official

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1700360914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 7TH ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631439",
            "telephone_number": "618-263-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 7TH ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631439",
            "telephone_number": "618-263-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYBERRY",
        "first_name": "CHRISTINA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "IL",
            "license": "L-162013",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041467744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie L Logan
• McKinzie Maikranz, CRNA
• Driahna Manahan, FNP- BC
• Roberta Elise Marriott
• Jeremiah Lee Martin, CRNA
• Alison Mayhue
• William McAlister, MS, LAT, ATC
• Jessica Leigh McCall, LPTA
• Amber J McGinnis, LCPC
• Rachel Lynn Metz, PA-C

• Registered Nurse in Mount Carmel, IL
• Providers in Mount Carmel, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.