Active NPI
Christine L Kirsch, AU.D., FAAA
- Audiologist
- San Diego, CA
National Provider Identifier
1023221074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AU2031
- Practice address
- 5500 Campanile Dr
San Diego
San Diego, CA 92182-1518 - Phone
- (619) 594-7747
- Fax
- (619) 594-5917
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU2031 | CA | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | AU2031 | CA |
Addresses
Primary practice location
5500 Campanile Dr
San Diego
San Diego, CA 92182-1518
Mailing address
5500 Campanile Dr
San Diego
San Diego, CA 92182-1518
Phone (619) 594-7747
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU 2031 | Other | CA | AUDIOLOGY LICENSE |
| HA 4142 | Other | CA | DISPENSER LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AU2031 | CA | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen M Scott M a | Audiologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist
- San Luis Obispo, CA
- NPI 1093957870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1023221074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 CAMPANILE DR",
"address_2": "SAN DIEGO",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921821518",
"telephone_number": "619-594-7747",
"fax_number": "619-594-5917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 CAMPANILE DR",
"address_2": "SAN DIEGO",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921821518",
"telephone_number": "619-594-7747",
"fax_number": "619-594-5917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSCH",
"first_name": "CHRISTINE",
"middle_name": "L",
"credential": "AU.D., FAAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "AU2031",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "CA",
"license": "AU2031",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUDIOLOGY LICENSE",
"identifier": "AU 2031",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DISPENSER LICENSE",
"identifier": "HA 4142",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.