Active NPI
Christine R Ortiz, AUD
- Audiologist
- Bethesda, MD
National Provider Identifier
1235140617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 01047
- Practice address
- 6420 Rockledge Dr
Suite 4200
Bethesda, MD 20817-7837 - Phone
- (301) 896-6840
- Fax
- (301) 530-7989
- NPI assigned
- Aug 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01047 | MD | Primary |
Addresses
Primary practice location
6420 Rockledge Dr
Suite 4200
Bethesda, MD 20817-7837
Mailing address
PO Box 791372
Baltimore, MD 21279-1372
Phone (301) 608-8375
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 |
|---|---|---|---|
| 01047 | MD | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Physician Group, LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1235140617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791372",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212791372",
"telephone_number": "301-608-8375",
"fax_number": "301-608-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6420 ROCKLEDGE DR",
"address_2": "SUITE 4200",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208177837",
"telephone_number": "301-896-6840",
"fax_number": "301-530-7989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "CHRISTINE",
"middle_name": "R",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.