Active NPI
Patricia S Christie, ARNP
- Adult Psychiatric/Mental Health Registered Nurse
- Fort Walton Beach, FL
National Provider Identifier
1881668036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- ARNP 2087682
- Practice address
- 68 Beal Pkwy SW
Fort Walton Beach, FL 32548-5331 - Phone
- (850) 243-7035
- Fax
- (850) 243-8529
- NPI assigned
- Feb 15, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | ARNP 2087682 | FL | Primary |
Addresses
Primary practice location
68 Beal Pkwy SW
Fort Walton Beach, FL 32548-5331
Mailing address
PO Box 879
Fort Walton Beach, FL 32549-0879
Phone (850) 243-7035
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304228600 | Medicaid | FL | |
| Y7376 | Other | FL | BCBS |
| 7378095 | Other | FL | AETNA ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 2087682 | FL | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolyn N. Ketchel, P.a. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Mary Esther, FL
- NPI 1275877086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1881668036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 879",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325490879",
"telephone_number": "850-243-7035",
"fax_number": "850-243-8529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 BEAL PKWY SW",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485331",
"telephone_number": "850-243-7035",
"fax_number": "850-243-8529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHRISTIE",
"first_name": "PATRICIA",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "FL",
"license": "ARNP 2087682",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304228600",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y7376",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "7378095",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.