Individual provider Active NPI

Christeen Jefferson, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Deerfield Beach, FL
National Provider Identifier
1770171738
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5013952 Issued in NC
Practice address
700 W Hillsboro Blvd Ste 203
Deerfield Beach, FL 33441-1612
Phone
(954) 990-2057
Fax
(954) 320-7341
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5013952 NC Primary

Addresses

Primary practice location

700 W Hillsboro Blvd Ste 203
Deerfield Beach, FL 33441-1612

Mailing address

1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610-1081
Phone (919) 838-2887

Other names 1

  • Miss Christeen L Barabad Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220511000020 NC Practitioner - Nurse Practitioner 3375920465 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Group IncGroup PAC ID 9739090226, 65 clinicians
Universal Health CorporationGroup PAC ID 5597912626, 120 clinicians

Practice addresses (Care Compare)

110 Division St
Norlina, NC 27563-9041
Phone (252) 456-2009

1987 Hilton Rd
Burlington, NC 27217-2968
Phone (540) 814-5344

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Behavioral Care, Inc. CurrentSince Mar 26, 2024 Accepting new patients
Universal Health Corporation CurrentSince Feb 21, 2025 Accepting new patients
Theoria Medical CurrentSince Oct 5, 2024 Accepting new patients
Theoria Medical Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1987 Hilton Rd
Burlington, NC 27217
Phone (336) 226-0848

303 E Carver St
Durham, NC 27704
Phone (725) 710-9338

411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521

1590 Skibo Rd
Ste 101
Fayetteville, NC 28303
Phone (910) 717-0676

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

1306 S King St
Windsor, NC 27983
Phone (252) 217-9874

130 Church Ave SW
Roanoke, VA 24011

Interoperability endpoints

  • Direct secure messaging: christeen.jefferson.1@32527.direct.athenahealth.com
  • Direct secure messaging: christeen.jefferson@1103780654809092.direct.elationemr.com

Organizations & group practices 6

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1770171738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N RALEIGH BLVD",
            "address_2": "STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101081",
            "telephone_number": "919-838-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W HILLSBORO BLVD STE 203",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334411612",
            "telephone_number": "954-990-2057",
            "fax_number": "954-320-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "CHRISTEEN",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5013952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTEEN",
            "last_name": "BARABAD",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "AGPCNP - BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.