Active NPI
Christine D. Fongheiser, RN
- Registered Nurse
- West Chester, PA
National Provider Identifier
1982884011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN225368L
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101164486 0001 | Medicaid | PA |
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 |
|---|---|---|---|
| RN225368L | PA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New 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.