Individual provider Active NPI

Christine Sue Harrington, FNP-BC

  • Nurse Practitioner
  • Brockway, MI
National Provider Identifier
1902186752
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704146401 Issued in MI
Practice address
7470 Brockway Rd
Brockway, MI 48097-3458
Phone
(810) 387-3211
NPI assigned
Aug 25, 2011
Last updated
Aug 25, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704146401 MI Primary

Addresses

Primary practice location

7470 Brockway Rd
Brockway, MI 48097-3458

Mailing address

7141 State Rd
Burtchville, MI 48059-1815
Phone (810) 385-8806

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20150423000167 MI Practitioner - Nurse Practitioner 4183869886 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Family Medicine, PLLC CurrentSince Apr 1, 2015 Accepting new patients
Port Huron Physicians Medical Group PC CurrentSince May 3, 2021 Accepting new patients

Locations

4190 24th Ave
Ste 208
Fort Gratiot, MI 48059
Phone (810) 216-4000

5294 Main St
Lexington, MI 48450
Phone (810) 359-5030

600 Fort St
Ste 100
Port Huron, MI 48060
Phone (810) 987-9711

Interoperability endpoints

  • Direct secure messaging: christine.harrington.1@11879.direct.athenahealth.com

Organizations & group practices 2

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": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1902186752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7141 STATE RD",
            "city": "BURTCHVILLE",
            "state": "MI",
            "postal_code": "480591815",
            "telephone_number": "810-385-8806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7470 BROCKWAY RD",
            "city": "BROCKWAY",
            "state": "MI",
            "postal_code": "480973458",
            "telephone_number": "810-387-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "CHRISTINE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704146401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockway, MI

Sources for this page

Verify at the official NPI Registry.