Individual provider Active NPI

Christin Hegreness, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1891075909
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AP4031 Issued in AZ
Practice address
14961 W Bell Rd
Suite 175
Surprise, AZ 85374-3200
Phone
(623) 547-7205
Fax
(623) 243-6733
NPI assigned
Aug 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP4031 AZ Primary

Addresses

Primary practice location

14961 W Bell Rd
Suite 175
Surprise, AZ 85374-3200

Mailing address

14961 W Bell Rd
Suite 175
Surprise, AZ 85374-3200
Phone (623) 547-7205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20120222000081 AZ Practitioner - Nurse Practitioner 8123286184 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP4031AZMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Maternity and Women'S Clinic, Inc CurrentSince Mar 21, 2016 Accepting new patients

Locations

14961 W Bell Rd
Ste 175
Surprise, AZ 85374
Phone (623) 242-9830

Interoperability endpoints

  • Direct secure messaging: christin.hegreness.1@30119.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1891075909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD",
            "address_2": "SUITE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743200",
            "telephone_number": "623-547-7205",
            "fax_number": "623-243-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD",
            "address_2": "SUITE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743200",
            "telephone_number": "623-547-7205",
            "fax_number": "623-243-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGRENESS",
        "first_name": "CHRISTIN",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP4031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.