Christine B Anderegg, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10003787 Issued in WA

Practice address

130 Marvin Rd SE
Suite 112
Lacey, WA 98503-6100

Phone

(360) 357-8822

Fax

(360) 413-1502

NPI assigned

Jun 15, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

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.

• Capital Medical Center Physicians LLC

  • Family Medicine Physician
  • Lacey, WA
  • NPI 1649037623
  NPD
• Capital Medical Center Physicians LLC

  • Internal Medicine Physician
  • Montesano, WA
  • NPI 1710744792
  NPD
• Public Hospital District No 1 of Mason County

  • Podiatric Clinic/Center
  • Olympia, WA
  • NPI 1740642024
  NPD
• Olympia Orthopaedic Associates PLLC

  • Ambulatory Surgical Clinic/Center
  • Olympia, WA
  • NPI 1083785398
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1871537795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MARVIN RD SE",
            "address_2": "SUITE 112",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036100",
            "telephone_number": "360-357-8822",
            "fax_number": "360-413-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MARVIN RD SE",
            "address_2": "SUITE 112",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985036100",
            "telephone_number": "360-357-8822",
            "fax_number": "360-413-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDEREGG",
        "first_name": "CHRISTINE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8394975",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Current Care of Washington, P.S.
• Americas Best Contacts & Eyeglasses
• Daisy M Amerine, CBT.CB.70011397
• Sonja An
• Alexander Kraig Anagnostou, CBT
• August Anderson-Smith, RBT
• Amy Anderson
• Brittany Jo Marilyn Anderson, COTA/L
• Emily Ruth Anderson
• Jennifer Louise Anderson, LMT

• All providers in Lacey, WA
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.