Christy Timothea House, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71012767A Issued in ID

Practice address

1162 E Summit St
Crown Point, IN 46307-2729

Phone

(219) 440-6626

NPI assigned

Nov 1, 2019

Last updated

Jan 4, 2023By 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 5

Addresses

Other names 1

• Christy Timothea Coffey Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, IN2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chouse19988@ssdirect.comhs.org

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.

• Community Care Network Inc

  dba Powers Health Medical Group

  • Family Medicine Physician
  • Saint John, IN
  • NPI 1457610487

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Mercy Professional Care, LLC

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1902827876

  Single Specialty

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OH, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1740824895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 E SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072729",
            "telephone_number": "219-440-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 E SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072729",
            "telephone_number": "219-440-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 Saint Mary Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463833986",
            "country_code": "US",
            "telephone_number": "219-286-3707",
            "fax_number": "219-286-3708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Mercy Dr NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447082641",
            "country_code": "US",
            "telephone_number": "330-489-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "CHRISTY",
        "middle_name": "TIMOTHEA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2023-01-04",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.464769",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28246265A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.025360",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012767A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "71012767A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christyhouse@mobomedspa.com",
            "affiliation": "N",
            "endpointDescription": "E-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1162 E Summit St",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463072729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "COFFEY",
            "middle_name": "TIMOTHEA",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Horn
• Alexandra Horst, PT, DPT
• Hospice of America, Inc
• Hospice of America, Inc
• Andrew House, MD
• Kathryn Howell, FNP-C
• HRS Home Health of Indiana LLC (AccentCare Home Health of Indiana)
• Natalie Jeanne Huddleston, MS.ED, M IN MFT
• Yazmine Huerta
• Lindsay Jean Humpfer, FNP

• Family Nurse Practitioner in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.

Verify at the official NPI Registry.