Individual provider Active NPI

Christine D. Haines, MA

  • Audiologist
  • Storrs, CT
National Provider Identifier
1265438568
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000363 Issued in CT
Practice address
2 Alethia Dr # U-1085
Storrs, CT 06269-8082
Phone
(860) 486-2629
NPI assigned
Jun 22, 2005
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4208684MedicaidCT

Other names 1

  • Christine D. Hare Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080719000019 CT Practitioner - Qualified Audiologist 4688747967 Reassigns benefits to 1 organization

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
The University of ConnecticutGroup PAC ID 2062507817, 7 clinicians

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

LicenseStateTypeSpecialty
000363CTMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Connecticut Audiologist CurrentSince May 1, 2022 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.

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.

Verify at the official NPI Registry.