Individual provider Active NPI

Christine Marie Hoover, NP-C

  • Gerontology Nurse Practitioner
  • Tallmadge, OH
National Provider Identifier
1710530357
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN.CNP.025219 Issued in OH
Practice address
65 Community Rd Ste C
Tallmadge, OH 44278-2358
Phone
(330) 633-6601
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APRN.CNP.025219 OH Primary

Addresses

Primary practice location

65 Community Rd Ste C
Tallmadge, OH 44278-2358

Mailing address

754 Chenoweth Dr
Coventry Township, OH 44319-2562
Phone (330) 592-5628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190823000595 OH Practitioner - Nurse Practitioner 2264760693 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Aug 1, 2023 Accepting new patients
Tri-County Hematology & Oncology Associates Inc CurrentSince Jan 10, 2022 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Aug 1, 2023 Accepting new patients

Locations

7337 Caritas Cir NW
Ste 150
Massillon, OH 44646
Phone (330) 478-0001

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

Organizations & group practices 4

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1710530357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 CHENOWETH DR",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443192562",
            "telephone_number": "330-592-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 COMMUNITY RD STE C",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782358",
            "telephone_number": "330-633-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "APRN.CNP.025219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

Verify at the official NPI Registry.