Active NPI
Christy Mahrt, AU.D.
- Audiologist
- Rolla, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 147001851
- Practice address
- 1005 N Pine St
Rolla, MO 65401-2824 - Phone
- (573) 426-3350
- Fax
- (573) 279-4680
- NPI assigned
- Mar 23, 2009
- Reactivated
- Sep 23, 2021
- Last updated
- Aug 7, 2026
- 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 | 147001851 | IL | Primary |
Addresses
Primary practice location
1005 N Pine St
Rolla, MO 65401-2824
Mailing address
611 W. Park St
Fapc
Urbana, IL 61801
Other practice location 1
207 Landmark Dr Ste A
Normal, IL 61761-3195
Phone (309) 268-3200
Other practice location 2
816 S Eldorado Rd Ste 1&2A
Bloomington, IL 61704-6000
Phone (309) 662-8834
Other names 1
- Christy Kimly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1005 N Pine St
Rolla, MO 65401-2824
Phone (573) 426-3350
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147001851 | IL | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angkor Audiology LLC | Audiologist | Current | Accepting new patients |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| Peoria Ear, Nose and Throat Group, S.C. | Audiologist | Current | Accepting new patients |
| Metro Hearing Services | Past | Accepting new patients |
Locations
2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461
207 Landmark Dr
Ste A
Normal, IL 61761
Phone (309) 268-3200
7301 N Knoxville Ave
Peoria, IL 61614
Phone (309) 589-5900
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
1005 N Pine St
Rolla, MO 65401
Phone (573) 368-3242
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Otolaryngology Physician
- Peoria, IL
- NPI 1952380628
Audiologist
-
- Hearing and Speech Clinic/Center
- Edina, MN
- NPI 1093957409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1245471150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W. PARK ST",
"address_2": "FAPC",
"city": "URBANA",
"state": "IL",
"postal_code": "61801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 N PINE ST",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012824",
"telephone_number": "573-426-3350",
"fax_number": "573-279-4680"
}
],
"practiceLocations": [
{
"address_1": "207 Landmark Dr Ste A",
"address_purpose": "LOCATION",
"city": "Normal",
"state": "IL",
"postal_code": "617613195",
"country_code": "US",
"telephone_number": "309-268-3200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "816 S Eldorado Rd Ste 1&2A",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IL",
"postal_code": "617046000",
"country_code": "US",
"telephone_number": "309-662-8834",
"fax_number": "309-662-0479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHRT",
"first_name": "CHRISTY",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-23",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"deactivation_date": "2009-04-01",
"reactivation_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IL",
"license": "147001851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "KIMLY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.