Active NPI
Nina Etienne Christmas
- Specialist
- Chicago, IL
National Provider Identifier
1881557288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 606 W Roosevelt Rd
Chicago, IL 60607-4912 - Phone
- (872) 262-6555
- NPI assigned
- Dec 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary | ||
| Health & Wellness Coach | 171400000X | |||
| Contractor | 171W00000X | |||
| Specialist | 174400000X | 012.007649 | IL |
Addresses
Primary practice location
606 W Roosevelt Rd
Chicago, IL 60607-4912
Mailing address
9520 Mayfield Ave Apt N302
Oak Lawn, IL 60453-0002
Phone (872) 262-6555
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012.007649 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1881557288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9520 MAYFIELD AVE APT N302",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604530002",
"telephone_number": "872-262-6555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 W ROOSEVELT RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074912",
"telephone_number": "872-262-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTMAS",
"first_name": "NINA",
"middle_name": "ETIENNE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-03",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "012.007649",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.