Christine A Deck, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

210823 Issued in OH

Practice address

1303 California Ave
Louisville, OH 44641

Phone

(330) 875-3353

Fax

(330) 875-2746

NPI assigned

Dec 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Christine A Shirey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1851377337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 CALIFORNIA AVE",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "446418737",
            "telephone_number": "330-875-3353",
            "fax_number": "330-875-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 CALIFORNIA AVE",
            "city": "LOUISVILLE",
            "state": "OH",
            "postal_code": "44641",
            "telephone_number": "330-875-3353",
            "fax_number": "330-875-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECK",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "210823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2154476",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "SHIREY",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "NURSE PRACTITONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Colston, CNP
• Megan Conley, M.A., CCC-SLP
• Matthew Cowles
• Cody Michael Davis
• Kevin Davis, LPCC
• Jeffery Diezman
• Rebecca B Dixon
• Pamela Marie Dougherty, LPN
• Haley A Duhaime, O.D.
• Christine A Dyer, LISW-S

• Family Nurse Practitioner in Louisville, OH
• Providers in Louisville, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.