IndividualActive
Christine Wall, RN
NPI 1003976481 · Home Health Registered Nurse · Port Jefferson Station, NY
Provider details
- NPI number
- 1003976481
- Entity type
- Individual
- Primary specialty
- Home Health Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 528246-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
29 Pagnotta Dr
Port Jefferson Station, NY 11776-4454
Phone: (631) 828-2905
Street-level locationGet directions
Mailing address
29 Pagnotta Dr
Port Jefferson Station, NY 11776-4454
Registry dates
- Enumerated
- 2006-12-08
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.