Individual provider Active NPI

Christine Myers, APRN, FNP-C

  • Family Nurse Practitioner
  • Brandenburg, KY
National Provider Identifier
1801310461
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011578A Issued in IN
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

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3011630OtherKYKENTUCKY APRN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, 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

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
71011578AINMDFamily Nurse Practitioner
3011630KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Little Clinic of in LLC Family CurrentSince Oct 20, 2021 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

Verify at the official NPI Registry.