Christine E Jackson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

260098 Issued in MA

Practice address

500 Merrimack St
Lawrence, MA 01843-1756

Phone

(978) 557-8900

Fax

(978) 557-8856

NPI assigned

Oct 31, 2008

Sex

Female

Sole proprietor

No

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.

• Emerson Practice Associates, Inc.

  • Internal Medicine Physician
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  • NPI 1508020199

  MA

  Medicare reassignment NPD
• Urgent Care Operations PC

  • Urgent Care Clinic/Center
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  • NPI 1417311309
  NPD
• Urgent Care Operations, PC

  • Urgent Care Clinic/Center
  • Haverhill, MA
  • NPI 1396434049
  NPD

Medicare fee-for-service enrollment

Enrolled in MA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

• Christine E Vencis Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 15, 2022.

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1992958128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ANDOVER ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455036",
            "telephone_number": "978-837-5441",
            "fax_number": "978-837-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431756",
            "telephone_number": "978-557-8900",
            "fax_number": "978-557-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "260098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "VENCIS",
            "middle_name": "E",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Integrity Medical Transportation Corp.
• International Health Solutions, Inc
• Elizabeth Irvin, MD
• Kalyani Isanaka, DPT
• Richard J. Iseke, M.D.
• Caren G Jacobson, MD
• Elizabeth Marie Jaime, APRN
• James F. Drew DMD PC
• Jamie Mauritz James
• Sofia Del Carmen Jaramillo Quiroz, MD

• All providers in Lawrence, MA
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.