Individual provider Active NPI

Christa K Holmon, APN, NP-C

  • Family Nurse Practitioner
  • East Saint Louis, IL
National Provider Identifier
1710406962
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209016426 Issued in IL
Practice address
4901 State St
East Saint Louis, IL 62205-1356
Phone
(618) 482-4562
Fax
(618) 482-4575
NPI assigned
Sep 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016426 IL Primary

Addresses

Primary practice location

4901 State St
East Saint Louis, IL 62205-1356

Mailing address

4901 State St
East Saint Louis, IL 62205-1356

Other names 1

  • Christa R Dyson-Spiller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christa.dyson-spiller.1@9559.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20171109000915 IL Practitioner - Nurse Practitioner 9335405232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2900 Frank Scott Pkwy W
Suite 980
Belleville, IL 62223-5000
Phone (618) 234-9200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Oct 16, 2017 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Oct 16, 2017 Accepting new patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients

Locations

2900 Frank Scott Pkwy W
Ste 980
Belleville, IL 62223
Phone (618) 234-9200

800 Range Ln
East Saint Louis, IL 62206
Phone (618) 337-3117

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

4901 State St
East St Louis, IL 62205
Phone (618) 482-4562

2041 Goose Lake Rd
Sauget, IL 62206

Organizations & group practices 3

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": "1505779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1710406962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 STATE ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622051356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 STATE ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622051356",
            "telephone_number": "618-482-4562",
            "fax_number": "618-482-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMON",
        "first_name": "CHRISTA",
        "middle_name": "K",
        "credential": "APN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-19",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christa.dyson-spiller.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "4901 State St",
            "city": "East Saint Louis",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622051356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTA",
            "last_name": "DYSON-SPILLER",
            "middle_name": "R",
            "credential": "APN, NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Saint Louis, IL

Sources for this page

Verify at the official NPI Registry.