Christine M. Formica

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

5789-C Issued in NV

Legal business name

CHRISTINE M. FORMICA

Practice address

2152 Jasper Bluff St Unit 105
Las Vegas, NV 89117-5977

Phone

(702) 327-2829

NPI assigned

Aug 16, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Christine Michelle Formica, MSW

Title

Director

Phone

(702) 327-2829

Specialties & licenses 2

Addresses

Other names 1

• Saint Rose Children and Family Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristy Ann Sauter, LSW

  • Social Worker
  • Las Vegas, NV
  • NPI 1760799589
  NPD (past)

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1962717892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 JASPER BLUFF ST UNIT 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175977",
            "telephone_number": "702-327-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 JASPER BLUFF ST UNIT 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175977",
            "telephone_number": "702-327-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE M. FORMICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "FORMICA",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-327-2829",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5789-C",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NV",
            "license": "5789-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Rose Children and Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Oliver, PLLC
• Christina Parise, LLC
• Christina Stranges
• Christine C Clark LTD
• Christine Hazel Zinn
• Christine Navales DDS a Professional Corporation
• Christine Navales DDS a Professional Corporation
• Christine Navales DDS a Professional Corporation
• Christine Navales DDS a Professional Corporation
• Kate Christman

• Foster Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Foster Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.