Individual provider Active NPI

Christyl Jade Hines, CRNP

  • Family Nurse Practitioner
  • Andalusia, AL
National Provider Identifier
1861830689
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-124873 Issued in AL
Practice address
848 S Three Notch St
Andalusia, AL 36420-5320
Phone
(334) 427-3034
Fax
(334) 427-3949
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-124873 AL Primary

Addresses

Primary practice location

848 S Three Notch St
Andalusia, AL 36420-5320

Mailing address

PO Box 820
Andalusia, AL 36420-1216
Phone (334) 427-3034

Other names 1

  • Christyl Jade Lawrence Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20130905000630 AL Practitioner - Nurse Practitioner 6901049261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-124873ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andalusia Physician Practices LLC CurrentSince Sep 27, 2022 Accepting new patients
Andalusia Physician Practices LLC Current Accepting new patients
Andalusia Physician Practices LLC CurrentSince Sep 27, 2022 Accepting new patients
Covington Bone & Joint PC PastSince Oct 8, 1996 Accepting new patients

Locations

849 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-6953

301 Medical Ave
Ste C
Andalusia, AL 36420
Phone (334) 222-1211

845 W Bypass
Ste B
Andalusia, AL 36420
Phone (334) 222-7337

301 Medical Ave
Ste A
Andalusia, AL 36420
Phone (334) 222-9100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5021/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cristyl.hines.1@19364.direct.athenahealth.com

Organizations & group practices 4

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1861830689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201216",
            "telephone_number": "334-427-3034",
            "fax_number": "334-427-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 S THREE NOTCH ST",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205320",
            "telephone_number": "334-427-3034",
            "fax_number": "334-427-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "CHRISTYL",
        "middle_name": "JADE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-14",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-124873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTYL",
            "last_name": "LAWRENCE",
            "middle_name": "JADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.