Individual provider Active NPI

Christa Elizabeth Secord, FNP-C

  • Nurse Practitioner
  • Elko, NV
National Provider Identifier
1740531466
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN001396 Issued in NV
Practice address
160-12TH St.
Elko, NV 89801
Phone
(775) 738-2034
Fax
(775) 738-3241
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN001396 NV Primary

Addresses

Primary practice location

160-12TH St.
Elko, NV 89801

Mailing address

P.O. Box 2710
Elko, NV 89801-2710
Phone (775) 738-2034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150106002218 NV Practitioner - Nurse Practitioner 8426371071 Reassigns benefits to 1 organization
I20210310002025 TX Practitioner - Nurse Practitioner 8426371071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS IHS Phoenix AreaGroup PAC ID 8921265000, 10 clinicians

Practice addresses (Care Compare)

515 Shoshone Cir
Elko, NV 89801-5072
Phone (775) 738-2252

Hospital & facility affiliations

  • Genesis Home Health Services Home health agency, Elko, NV, CCN 297125
  • New Horizon Home Care, LLC Home health agency, Elko, NV, CCN 297211
  • Northeastern Nevada Regional Hospital Hospital, Elko, NV, CCN 290008

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN001396NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS IHS Phoenix Area Current Accepting new patients
Affordable Emergency Medicine Solutions LTD CurrentSince May 12, 2019 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Dec 1, 2020 Accepting new patients

Locations

515 Shoshone Cir
Elko, NV 89801
Phone (775) 738-2252

2511 Mountain City Hwy
Elko, NV 89801
Phone (775) 738-2779

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348099200000",
    "number": "1740531466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2710",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898012710",
            "telephone_number": "775-738-2034",
            "fax_number": "775-738-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160-12TH ST.",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "89801",
            "telephone_number": "775-738-2034",
            "fax_number": "775-738-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECORD",
        "first_name": "CHRISTA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN001396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

Verify at the official NPI Registry.