Provider Demographics
NPI:1275107138
Name:MONSSON, CHRISTY ANN (MA)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ANN
Last Name:MONSSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:ANN
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6988 BRIDGES RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-2141
Mailing Address - Country:US
Mailing Address - Phone:513-384-7162
Mailing Address - Fax:
Practice Address - Street 1:6988 BRIDGES RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-2141
Practice Address - Country:US
Practice Address - Phone:513-384-7162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-16
Last Update Date:2021-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172A00000X, 253Z00000X, 343900000X, 3747P1801X
OH347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriver
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle