Individual provider Active NPI

Christine Shoaf, NP

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1912456344
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001790-C-NP Issued in CO
Practice address
1107 S Lemay Ave Ste 200
Fort Collins, CO 80524-3959
Phone
(970) 484-1757
NPI assigned
Sep 27, 2016
Last updated
Feb 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0916929 VA
Family Nurse Practitioner 363LF0000X 0001790-C-NP CO Primary
Registered Nurse 163W00000X 209337 TN

Addresses

Primary practice location

1107 S Lemay Ave Ste 200
Fort Collins, CO 80524-3959

Mailing address

25 Northridge LN
Lexington, VA 24450-3399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20230202000632 TN Practitioner - Nurse Practitioner 9931482692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3800 Tennessee Ave
Chattanooga, TN 37409-1270
Phone (423) 778-2700

975 E 3Rd St
Chattanooga, TN 37403-2147

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209337TNMDRegistered Nurse
0001790-C-NPCOMDFamily Nurse Practitioner
F0916929VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 27, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Feb 27, 2023 Accepting new patients
Chattanooga Hamilton County Hospital Authority Past Accepting new patients

Locations

3800 Tennessee Ave
Ste 124
Chattanooga, TN 37409
Phone (423) 778-2700

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1912456344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NORTHRIDGE LN",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244503399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 S LEMAY AVE STE 200",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805243959",
            "telephone_number": "970-484-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOAF",
        "first_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "F0916929",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0001790-C-NP",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "209337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.