Christine Diana Withers, REGISTERED NURSE

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

78213 Issued in SC

Practice address

703 E. 9TH Street North
BLDG 4970, Room 123
Fort Stewart, GA 31314

Phone

(912) 435-1383

Fax

(912) 435-6133

NPI assigned

Sep 30, 2014

Last updated

Sep 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1710380183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E. 9TH STREET NORTH",
            "address_2": "BLDG 4970, ROOM 123",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-435-1383",
            "fax_number": "912-435-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E. 9TH STREET NORTH",
            "address_2": "BLDG 4970, ROOM 123",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "31314",
            "telephone_number": "912-435-1383",
            "fax_number": "912-435-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERS",
        "first_name": "CHRISTINE",
        "middle_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "SC",
            "license": "78213",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "GA",
            "license": "RN150190",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winn-Thrid Party Insurance (Lloyd C. Hawks TMC-Ft. Stewart)
• Winn-Thrid Party Insurance (Ebh Team B-Stewart)
• Winn-Thrid Party Insurance (Usadc Ft. Stewart Welcome Ctr)
• Winn-Thrid Party Insurance (Usadc Ft. Stewart 1)
• Christopher Neil Winslow, PHARMD, MBA
• Edward Withers
• Amanda Louise Wolfe, DPT
• Rebecca Wolfe, RN
• Cortney Wolfley, DO
• Melissa Woo-Whetstone, BC,APRN

• Case Management Registered Nurse in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Case Management Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.