Active NPI
Christine D. Haines, MA
- Audiologist
- Storrs, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 000363
- Practice address
- 2 Alethia Dr # U-1085
Storrs, CT 06269-8082 - Phone
- (860) 486-2629
- NPI assigned
- Jun 22, 2005
- Last updated
- Oct 3, 2023
- 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 | 000363 | CT | Primary |
Addresses
Primary practice location
2 Alethia Dr # U-1085
Storrs, CT 06269-8082
Mailing address
2 Alethia Dr # U-1085
Storrs, CT 06269-8082
Phone (860) 486-2629
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4208684 | Medicaid | CT |
Other names 1
- Christine D. Hare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
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)
2 Alethia Dr
U 1085
Storrs, CT 06269-1085
Phone (860) 486-2629
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000363 | CT | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Connecticut | Audiologist | Current | Accepting new patients |
| University of Connecticut Health Center | Past | Accepting new patients |
Locations
2 Alethia Dr
#U1085
Storrs Mansfield, CT 06269
Phone (860) 486-2629
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University of Connecticut Speech & Hearing Clinic
- Audiologist
- Storrs, CT
- NPI 1114011830
-
- Clinical Medical Laboratory
- Farmington, CT
- NPI 1427031293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1265438568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 ALETHIA DR # U-1085",
"city": "STORRS",
"state": "CT",
"postal_code": "062698082",
"telephone_number": "860-486-2629",
"fax_number": "608-486-4948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ALETHIA DR # U-1085",
"city": "STORRS",
"state": "CT",
"postal_code": "062698082",
"telephone_number": "860-486-2629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAINES",
"first_name": "CHRISTINE",
"middle_name": "D.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CT",
"license": "000363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4208684",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "HARE",
"middle_name": "D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Storrs, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.