Individual provider Active NPI

Christie Emile

  • Registered Nurse
  • Farmingdale, NY
National Provider Identifier
1851132260
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
628146 Issued in NY
Practice address
261 Van Cott Ave
Farmingdale, NY 11735-3633
Phone
(347) 325-2133
NPI assigned
Jun 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 628146 NY Primary

Addresses

Primary practice location

261 Van Cott Ave
Farmingdale, NY 11735-3633

Mailing address

261 Van Cott Ave
Farmingdale, NY 11735-3633
Phone (347) 325-2133

Other practice location 1

261 Van Cott Ave
Farmingdale, NY 11735-3633
Phone (347) 325-2133

Other names 1

  • Christie Devine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250811002498 NY Order and Referring Only - Nurse Practitioner 7012415870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
628146NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1851132260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 VAN COTT AVE",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353633",
            "telephone_number": "347-325-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 VAN COTT AVE",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353633",
            "telephone_number": "347-325-2133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "261 Van Cott Ave",
            "address_purpose": "LOCATION",
            "city": "Farmingdale",
            "state": "NY",
            "postal_code": "117353633",
            "country_code": "US",
            "telephone_number": "347-325-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMILE",
        "first_name": "CHRISTIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "628146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "DEVINE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmingdale, NY

Sources for this page

Verify at the official NPI Registry.