Active NPI
Christine Villagomez, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Wilson, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5013167
- Practice address
- 2261 Nash St NW
Wilson, NC 27896-1735 - Phone
- (855) 501-1004
- NPI assigned
- Sep 17, 2019
- Last updated
- May 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5013167 | NC | Primary |
Addresses
Primary practice location
2261 Nash St NW
Wilson, NC 27896-1735
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (855) 501-1004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1990 Fordham Dr
Suite 202
Fayetteville, NC 28304-3995
Phone (910) 216-9177
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5013167 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Current | Accepting new patients | |
| Mindpath Care Centers, North Carolina, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| State of Oklahoma | Current | Accepting new patients | |
| State of Oklahoma | Current | Accepting new patients |
Locations
3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898
4 Doctors Park
Ste H
Asheville, NC 28801
Phone (828) 633-6070
1990 Fordham Dr
Ste 202
Fayetteville, NC 28304
Phone (910) 216-9177
2261 Nash St NW
Wilson, NC 27896
Phone (252) 237-8403
602 SW 38th St
Lawton, OK 73505
2323 S Harvard Ave
Tulsa, OK 74114
Phone (918) 293-2140
Interoperability endpoints
- mpsc.christineyeagley@114018.advancedmd-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mindpath Health, a practice of, MindPath Care Centers, North Carolina,
- Psychiatry Physician
- Durham, NC
- NPI 1508803214
Psychiatric/Mental Health
-
dba Central Oklahoma Community Mental Health Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norman, OK
- NPI 1588755532
-
- Skilled Nursing Facility
- Talihina, OK
- NPI 1154589430
-
dba Jim Taliaferro CMHC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lawton, OK
- NPI 1619012515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1720638257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954",
"telephone_number": "855-501-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2261 NASH ST NW",
"city": "WILSON",
"state": "NC",
"postal_code": "278961735",
"telephone_number": "855-501-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAGOMEZ",
"first_name": "CHRISTINE",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-17",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5013167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
- Venkat Reddy Velmineti, PHARMACIST
- Krishna Murari Verma, M.D.
- Charles Cole Victor Vertz, ATC, LAT
- Barry Scott Via, DMD
- William Via
- Vis Ta Vie Wellness and Spa
- Vital Touch LLC (Vital Touch Lab & Medical Training)
- Von Arx Home Health Care, Inc. (ComForcare Senior Services)
- Gabriella Taylor Von Arx
- Jessica L Von Arx
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.