Individual provider Active NPI

Alicia Lehnes Cristobal, AU.D.

  • Audiologist
  • Durham, NC
National Provider Identifier
1235430430
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
9071 Issued in NC
Practice address
1515 W NC Highway 54 Ste 100
Durham, NC 27707-5575
Phone
(919) 489-0995
Fax
(919) 402-1955
NPI assigned
Nov 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 9071 NC Primary

Addresses

Primary practice location

1515 W NC Highway 54 Ste 100
Durham, NC 27707-5575

Mailing address

1515 W NC Highway 54 Ste 100
Durham, NC 27707-5575
Phone (919) 489-0995

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110103000367 NC Practitioner - Qualified Audiologist 2668660879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hearing Health Care Services PLLCGroup PAC ID 1355667080, 2 clinicians

Practice addresses (Care Compare)

1515 W NC Hwy 54
Suite 100
Durham, NC 27707-5575
Phone (919) 489-0995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9071NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Health Care Services, PLLC Audiologist CurrentSince Aug 18, 2014 Accepting new patients
Capitol Ear, Nose & Throat Audiologist Past Accepting new patients

Locations

1515 W NC Highway 54
Ste 100
Durham, NC 27707
Phone (919) 489-0995

Organizations & group practices 2

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": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429833600000",
    "number": "1235430430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W NC HIGHWAY 54 STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075575",
            "telephone_number": "919-489-0995",
            "fax_number": "919-402-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W NC HIGHWAY 54 STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075575",
            "telephone_number": "919-489-0995",
            "fax_number": "919-402-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTOBAL",
        "first_name": "ALICIA",
        "middle_name": "LEHNES",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2015-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "9071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.