Individual provider Active NPI

Christy Alexis Sergeant, ACCNS-AG

  • Adult Health Clinical Nurse Specialist
  • Roxboro, NC
National Provider Identifier
1922732841
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
542 Issued in NC
Practice address
5465 Semora Rd
Roxboro, NC 27574-8431
Phone
(336) 583-5474
NPI assigned
Jul 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 542 NC Primary

Addresses

Primary practice location

5465 Semora Rd
Roxboro, NC 27574-8431

Mailing address

5465 Semora Rd
Roxboro, NC 27574-8431
Phone (336) 583-5474

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

LicenseStateTypeSpecialty
542NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1922732841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 SEMORA RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275748431",
            "telephone_number": "336-583-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 SEMORA RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275748431",
            "telephone_number": "336-583-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERGEANT",
        "first_name": "CHRISTY",
        "middle_name": "ALEXIS",
        "name_prefix": "Ms.",
        "credential": "ACCNS-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NC",
            "license": "542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.