MRS. CHRISTINA MARIE IVY


Address: 2765 Red Cedar Parc Dr S, O Fallon, MO 63368-6609
Phone: 6362488072

MRS. CHRISTINA MARIE IVY (NPI# 1104394899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104394899
Entity Type Individual
Full Name MRS. CHRISTINA MARIE IVY
Credential FNP-C
Practice Address 2765 Red Cedar Parc Dr S
O Fallon
MO 63368-6609
Practice Telephone 6362488072
Mailing Telephone 6362488072
Enumeration Date 2018-11-12
Last Update Date 2018-11-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
2018040232 MO Physician Assistants & Advanced Practice Nursing Providers

Other Providers CHRISTINA IVY

NPI Name Taxonomy Address Enumeration
1457506073 Christina Renee Ivy Counselor 1166 Greenway Dr, Suite B5, Jackson, MO 63755-2913 2008-11-24

Office Location

Street Address 2765 RED CEDAR PARC DR S
City O FALLON
State MO
Zip Code 63368-6609

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134720329 Come As You Are Counseling LLC Counselor 1001 Boardwalk Springs Place, Suite 111, O Fallon, MO 63368 2020-11-04
1770124802 Lisa N. Greer Technician 6911 Brassel Dr., Ofallon, MO 63368 2019-09-30
1770145716 Halie Faye Gulley Dentist 3009 Hwy K, O'fallon, MO 63368 2019-06-29
1972079556 Erin Corsi Fraundorf Dentist 3009 State Hwy K, O'fallon, MO 63368 2018-10-22
1427579960 Air Evac Ems, Inc. Ambulance 1001 Boardwalk Springs Pl Ste 250, O Fallon, MO 63368 2017-07-06
1528507472 Washeck Manual Therapy LLC Clinic/Center 3074 Winghaven Blvd, O'fallon, MO 63368 2017-02-13
1639618457 Brittany Hogan Physical Therapist 7412 South Outer 364, Suite B, Dardenne Prairie, MO 63368 2017-02-13
1124561469 Cardinal Home Care LLC Home Health 18 Convent Garden Ct, O'fallon, MO 63368 2016-11-18
1336509272 Sarah Marie Mudd Counselor 1654 Bryan Road, O'fallon, MO 63368 2016-03-04
1588023956 Price-bourisaw Family Chiropractic Chiropractor 2917 State Highway K, O Fallon, MO 63368 2016-02-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295353308 Danielle Renae Blake Nurse Practitioner 808 E 2nd St, O Fallon, IL 62269-2217 2020-07-07
1588293864 Nicole Pashia Nurse Practitioner 983 Crestwood Ln, O Fallon, MO 63366-1676 2020-04-07
1225514722 Rachel Dulaney Nurse Practitioner 1405 N Green Mount Rd Ste 240, O Fallon, IL 62269-3494 2018-07-17
1053822551 Leah W Wangui Nurse Practitioner 225 Mystic Cv, O Fallon, MO 63368-9654 2017-10-24
1932655479 Danielle Besand Nurse Practitioner 18 S Boxwood Ln, O Fallon, MO 63366-1626 2016-08-25
1649626144 Donna Jewell Nurse Practitioner 331 Logan Dr, O Fallon, IL 62269-7146 2016-05-13
1679939516 Gladys Schmees Nurse Practitioner 408 Wolfpass Dr, O Fallon, IL 62269-6972 2016-01-07
1275916934 Blue Valley Surgical Associates, LLC Nurse Practitioner 2341 Highway K, Suite 214, O Fallon, MO 63368-8604 2015-06-30
1861894925 Elizabeth Morton Nurse Practitioner 223 Shady Rock Ln, O Fallon, MO 63368-7471 2014-09-20
1811532666 Cindy Lynette Sanden Nurse Practitioner 1 Saint Elizabeth Blvd, O Fallon, IL 62269-1099 2019-11-14
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Competitor

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City O FALLON
Zip Code 63368

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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