Individual provider Active NPI

Christine Kircher Goguen, M.S., CCC-A

  • Audiologist
  • Birmingham, AL
National Provider Identifier
1023289816
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
825A Issued in AL
Practice address
2700 10TH Ave S
Suite 502
Birmingham, AL 35205-1200
Phone
(205) 933-2951
Fax
(205) 933-5893
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 825A AL Primary

Addresses

Primary practice location

2700 10TH Ave S
Suite 502
Birmingham, AL 35205-1200

Mailing address

2700 10TH Ave S
Suite 502
Birmingham, AL 35205-1200
Phone (205) 933-2951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000608 AL Practitioner - Qualified Audiologist 5799843207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
825AALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Ear, Nose & Throat Group, PC Current Accepting new patients
Alabama Ear, P.C. CurrentSince Aug 1, 2019 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Dec 1, 2019 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

2937 7th Ave S
Birmingham, AL 35233
Phone (205) 251-7169

2700 10th Ave S
Ste 502
Birmingham, AL 35205
Phone (205) 933-2951

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

501 Emery Dr W
Hoover, AL 35244
Phone (205) 801-7703

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1023289816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S",
            "address_2": "SUITE 502",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051200",
            "telephone_number": "205-933-2951",
            "fax_number": "205-933-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 10TH AVE S",
            "address_2": "SUITE 502",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051200",
            "telephone_number": "205-933-2951",
            "fax_number": "205-933-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGUEN",
        "first_name": "CHRISTINE",
        "middle_name": "KIRCHER",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "825A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.