Individual provider Active NPI

Christine D. Fongheiser, RN

  • Registered Nurse
  • West Chester, PA
National Provider Identifier
1982884011
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN225368L Issued in PA
Practice address
900 Lawrence Dr
West Chester, PA 19380-3415
Phone
(610) 696-8090
Fax
(610) 696-8300
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN225368L PA Primary

Addresses

Primary practice location

900 Lawrence Dr
West Chester, PA 19380-3415

Mailing address

615 Brookhill Rd
West Chester, PA 19380-1090
Phone (610) 692-4824

Other identifiers 1

IdentifierTypeStateIssuer
101164486 0001MedicaidPA

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

LicenseStateTypeSpecialty
RN225368LPAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Arc of Chester County Registered Nurse Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1982884011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 BROOKHILL RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193801090",
            "telephone_number": "610-692-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LAWRENCE DR",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193803415",
            "telephone_number": "610-696-8090",
            "fax_number": "610-696-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONGHEISER",
        "first_name": "CHRISTINE",
        "middle_name": "D.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN225368L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101164486 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.