Active NPI
Christine Willey Macko, BSN, RN-BC
- Occupational Health Registered Nurse
- Fort Stewart, GA
National Provider Identifier
1952702383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Registered Nurse
- License
- RN242355
- Practice address
- 1061 Harmon Ave Ste 1D03
Fort Stewart, GA 31314-5641 - Phone
- (912) 435-5101
- NPI assigned
- Sep 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN320388L | PA | |
| Gastroenterology Registered Nurse | 163WG0100X | 710724 | TX | |
| Ambulatory Care Registered Nurse | 163WP2201X | 710724 | TX | |
| Occupational Health Registered Nurse | 163WX0106X | RN242355 | GA | Primary |
| Ambulatory Surgical Clinic/Center | 261QA1903X | 227203 | NC |
Addresses
Primary practice location
1061 Harmon Ave Ste 1D03
Fort Stewart, GA 31314-5641
Mailing address
1061 Harmon Ave Ste 1D03
Fort Stewart, GA 31314-5641
Phone (912) 435-5101
Other names 1
- Christine Louise Willey
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
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN320388L | PA | MD | Registered Nurse |
| 710724 | TX | MD | Ambulatory Care Registered Nurse |
| RN242355 | GA | MD | Occupational Health Registered Nurse |
| 227203 | NC | MD | Ambulatory Surgical Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1952702383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 HARMON AVE STE 1D03",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "912-435-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 HARMON AVE STE 1D03",
"city": "FORT STEWART",
"state": "GA",
"postal_code": "313145641",
"telephone_number": "912-435-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEY MACKO",
"first_name": "CHRISTINE",
"credential": "BSN, RN-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-04",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN320388L",
"primary": false
},
{
"code": "163WG0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gastroenterology",
"state": "TX",
"license": "710724",
"primary": false
},
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "TX",
"license": "710724",
"primary": false
},
{
"code": "163WX0106X",
"taxonomy_group": "",
"desc": "Registered Nurse, Occupational Health",
"state": "GA",
"license": "RN242355",
"primary": true
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NC",
"license": "227203",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "WILLEY",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.