Individual provider Active NPI

Melissa Christianson, RN BSN

  • School Registered Nurse
  • Kirtland, NM
National Provider Identifier
1841763398
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
291090 Issued in NM
Practice address
550 Road 6100
Kirtland, NM 87417-9317
Phone
(505) 598-5881
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 291090 NM Primary

Addresses

Primary practice location

550 Road 6100
Kirtland, NM 87417-9317

Mailing address

9 Road 6193
Kirtland, NM 87417-9328
Phone (505) 486-9020

Other identifiers 2

IdentifierTypeStateIssuer
291090OtherNMNEW MEXICO PUBLIC EDUCATION DEPARTMENT
543567OtherNMREGISTERED NURSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
291090NMMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1841763398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ROAD 6193",
            "city": "KIRTLAND",
            "state": "NM",
            "postal_code": "874179328",
            "telephone_number": "505-486-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 ROAD 6100",
            "city": "KIRTLAND",
            "state": "NM",
            "postal_code": "874179317",
            "telephone_number": "505-598-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "MELISSA",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "291090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO PUBLIC EDUCATION DEPARTMENT",
            "identifier": "291090",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "543567",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirtland, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.