Individual provider Active NPI

Christine Huebner

  • Audiologist
  • Newington, CT
National Provider Identifier
1003958406
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
189 Issued in CT
Practice address
181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111
Phone
(860) 667-5480
Fax
(860) 667-8416
NPI assigned
Feb 13, 2007
Last updated
Nov 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 189 CT Primary

Addresses

Primary practice location

181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111

Mailing address

181 Patricia Genova Drive
Eastern Rehabilitation Network (5TH Floor)
Newington, CT 06111
Phone (860) 667-5480

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
000189CTMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Buckland Ear Nose & Throat LLC CurrentSince Jan 23, 2017 Accepting new patients
Eastern Rehabilitation Network Headache Clinic Past Accepting new patients
Connecticut Ear, Nose & Throat Associates, P.C. PastSince Jun 15, 2015 Accepting new patients

Locations

360 Tolland Tpke
Ste 1E
Manchester, CT 06042
Phone (860) 645-6675

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226880000000",
    "number": "1003958406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 PATRICIA GENOVA DRIVE",
            "address_2": "EASTERN REHABILITATION NETWORK (5TH FLOOR)",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-667-5480",
            "fax_number": "860-667-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 PATRICIA GENOVA DRIVE",
            "address_2": "EASTERN REHABILITATION NETWORK (5TH FLOOR)",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-667-5480",
            "fax_number": "860-667-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBNER",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.