Active NPI
Christine Myers, APRN, FNP-C
- Family Nurse Practitioner
- Brandenburg, KY
National Provider Identifier
1801310461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011578A
- Practice address
- 1404 Old Ekron Rd
Brandenburg, KY 40108-8361 - Phone
- (502) 684-8446
- Fax
- (270) 226-7802
- NPI assigned
- Jul 26, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3011630 | KY | |
| Family Nurse Practitioner | 363LF0000X | 71011578A | IN | Primary |
Addresses
Primary practice location
1404 Old Ekron Rd
Brandenburg, KY 40108-8361
Mailing address
1404 Old Ekron Rd
Brandenburg, KY 40108-8361
Phone (502) 684-8446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3011630 | Other | KY | KENTUCKY APRN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170817003979 | KY | Practitioner - Nurse Practitioner | 9133491640 | Reassigns benefits to 1 organization |
| I20211021001161 | IN | Practitioner - Nurse Practitioner | 9133491640 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71011578A | IN | MD | Family Nurse Practitioner |
| 3011630 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Clinic of in LLC | Family | Current | Accepting new patients |
Locations
815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146
200 New Albany Plz
New Albany, IN 47150
Phone (812) 941-3080
Organizations & group practices 2
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": "1501027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1801310461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 OLD EKRON RD",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401088361",
"telephone_number": "502-684-8446",
"fax_number": "270-226-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 OLD EKRON RD",
"city": "BRANDENBURG",
"state": "KY",
"postal_code": "401088361",
"telephone_number": "502-684-8446",
"fax_number": "270-226-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "CHRISTINE",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-26",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3011630",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011578A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY APRN LICENSE",
"identifier": "3011630",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandenburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.