Individual provider Active NPI

Christianne Robertson, AU.D

  • Audiologist
  • Abilene, TX
National Provider Identifier
1235495177
Registry record updated Apr 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81212 Issued in TX
Practice address
4545 Hartford St
Abilene, TX 79605-4602
Phone
(325) 793-3490
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 4956 NM
Audiologist 231H00000X 81212 TX Primary

Addresses

Primary practice location

4545 Hartford St
Abilene, TX 79605-4602

Mailing address

3549 Cedar Run Rd Apt 1608
Abilene, TX 79606-2470
Phone (214) 502-1488

Other practice location 1

2415 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone (575) 522-7977

Other practice location 2

4351 E Lohman Ave Ste 103
Las Cruces, NM 88011-8258
Phone (575) 521-9795

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200505000052 TX Practitioner - Qualified Audiologist 6901067263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Texas Tech University Health Science Center School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, 444 clinicians

Practice addresses (Care Compare)

4545 Hartford St
Abilene, TX 79605-4602
Phone (325) 793-3411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
81212TXMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
The West Texas Rehabilitation Center CurrentSince Dec 2, 2019 Accepting new patients
The West Texas Rehabilitation Center CurrentSince Dec 2, 2019 Accepting new patients

Locations

4601 Hartford St
Abilene, TX 79605
Phone (325) 793-3400

4545 Hartford St
Abilene, TX 79605
Phone (325) 698-4545

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585958400000",
    "number": "1235495177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3549 CEDAR RUN RD APT 1608",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796062470",
            "telephone_number": "214-502-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 HARTFORD ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054602",
            "telephone_number": "325-793-3490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 S Telshor Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880115049",
            "country_code": "US",
            "telephone_number": "575-522-7977",
            "fax_number": "575-522-0930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4351 E Lohman Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118258",
            "country_code": "US",
            "telephone_number": "575-521-9795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "CHRISTIANNE",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NM",
            "license": "4956",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2020; 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.