Christine M Glenn, ARNP FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-079387 Issued in AL

Practice address

1171 Gatewood Dr
Auburn, AL 36830-1817

Phone

(334) 821-2708

Fax

(334) 528-5420

NPI assigned

Jun 14, 2006

Last updated

Mar 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Christine Graham Former name

Medicare fee-for-service enrollment

Enrolled in AL, CO2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Stopwatch Urgent Care Centers LLC

  dba Moore's Mill Urgent Care

  • Urgent Care Clinic/Center
  • Auburn, AL
  • NPI 1841506458
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  CO

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment NPD
• Magnolia Healthcare, LLC

  dba Vital Care of Auburn

  • Home Infusion Therapy Pharmacy
  • Auburn, AL
  • NPI 1497416739
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1962445981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212426",
            "telephone_number": "504-842-4747",
            "fax_number": "504-842-4942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 GATEWOOD DR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368301817",
            "telephone_number": "334-821-2708",
            "fax_number": "334-528-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "credential": "ARNP FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07600",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "3089432",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-079387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07681261",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2368583",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "GRAHAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Gaston Gillikin, RD
• Jennifer Gillis Mattson, PHD
• Brian Timothy Gillis, LMFT
• Mackenzie Ginn
• J. Scott Gleaton, LMT
• Christopher Harold Glover, DPT
• William Connor Godwin, OD
• Sarah Gohlke
• Brianna Bailey Golden, PT
• William L. Golden, M.D.

• Family Nurse Practitioner in Auburn, AL
• Providers in Auburn, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.