Active NPI
Christine Sylvia Avig, RN
- Hospice Registered Nurse
- Baltimore, MD
National Provider Identifier
1942964879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice Registered Nurse
- License
- R186780
- Practice address
- 3900 Loch Raven Blvd
Baltimore, MD 21218-2108 - Phone
- (410) 605-7617
- Fax
- (443) 693-4970
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | R186780 | MD | Primary |
Addresses
Primary practice location
3900 Loch Raven Blvd
Baltimore, MD 21218-2108
Mailing address
3914 Madonna Rd
Jarrettsville, MD 21084-1034
Phone (443) 866-8725
Other practice location 1
59 Avenue D
Perry Point, MD 21902-1000
Phone (410) 605-7617
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | christine.avig@va.gov |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R186780 | MD | MD | Hospice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1942964879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3914 MADONNA RD",
"city": "JARRETTSVILLE",
"state": "MD",
"postal_code": "210841034",
"telephone_number": "443-866-8725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 LOCH RAVEN BLVD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212182108",
"telephone_number": "410-605-7617",
"fax_number": "443-693-4970"
}
],
"practiceLocations": [
{
"address_1": "59 Avenue D",
"address_purpose": "LOCATION",
"city": "Perry Point",
"state": "MD",
"postal_code": "219021000",
"country_code": "US",
"telephone_number": "410-605-7617",
"fax_number": "443-693-4970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVIG",
"first_name": "CHRISTINE",
"middle_name": "SYLVIA",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-27",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "MD",
"license": "R186780",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "christine.avig@va.gov",
"affiliation": "N",
"address_1": "3900 Loch Raven Blvd",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212182108",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.