Individual provider Active NPI

Christie C Maranto, APRN-BC,FNP

  • Family Nurse Practitioner
  • Bossier City, LA
National Provider Identifier
1871500140
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN035789 AP04983 Issued in LA
Practice address
5751 Shed Rd Ste 120
Bossier City, LA 71111-5662
Phone
(318) 935-1922
Fax
(318) 935-1925
NPI assigned
Aug 1, 2006
Last updated
Oct 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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 RN035789 AP04983 LA Primary

Addresses

Primary practice location

5751 Shed Rd Ste 120
Bossier City, LA 71111-5662

Mailing address

5751 Shed Rd Ste 120
Bossier City, LA 71111-5662
Phone (318) 935-1922

Other names 1

  • Christie Conerly Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN035789 AP04983LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Home Physicians Services, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cmaranto@direct.wkhs.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1871500140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 SHED RD STE 120",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115662",
            "telephone_number": "318-935-1922",
            "fax_number": "318-932-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 SHED RD STE 120",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115662",
            "telephone_number": "318-935-1922",
            "fax_number": "318-935-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARANTO",
        "first_name": "CHRISTIE",
        "middle_name": "C",
        "credential": "APRN-BC,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN035789 AP04983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTIE",
            "last_name": "CONERLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.