NPIMap

Individual provider Active NPI

Holli J Christensen, AUD

  • Audiologist
  • Salem, OR
National Provider Identifier
1386654333
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
030892 Issued in OR
Practice address
340 Vista Ave SE Ste 100
Salem, OR 97302-4546
Phone
(503) 877-9966
NPI assigned
Aug 9, 2006
Last updated
Oct 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1016 WA
Audiologist 231H00000X 030892 OR Primary

Addresses

Primary practice location

340 Vista Ave SE Ste 100
Salem, OR 97302-4546

Mailing address

340 Vista Ave SE Ste 100
Salem, OR 97302-4546
Phone (503) 877-9966

Other practice location 1

1005 W Walnut St
Suite 102
Yakima, WA 98902
Phone (509) 453-8600

Other identifiers 12

IdentifierTypeStateIssuer
1019672OtherCHPW
770619165OtherFIRST CHOICE PPO
9165CHOtherREGENCE BLUE SHIELD
P00125317OtherRAILROAD MEDICARE
770619165OtherMOLINA HEALTHCARE OF WA
770619165OtherUNITED HEALTH NETWORK
A003OtherTRI-CARE
770619165OtherPREMERA BLUE CROSS
8381816OtherDSHS
180216OtherLABOR & INDUSTRIES
8931874OtherCRIME VICTIMS
770619165OtherUNIFORM MEDICAL PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
030892ORMDAudiologist
1016WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Nose Clinic LLC PastSince Nov 1, 2017 Accepting new patients
Yakima Valley Hearing and Speech Center Audiologist PastSince Mar 27, 1997 Accepting new patients
Hearing Connection, LLC Audiologist Past Accepting new patients
MLM USA LLC Audiologist PastSince Aug 14, 2025 Accepting new patients
Sunnyside Community Hospital Association Past Accepting new patients

Organizations & group practices 5

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1386654333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 VISTA AVE SE STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024546",
            "telephone_number": "503-877-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 VISTA AVE SE STE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024546",
            "telephone_number": "503-877-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 W Walnut St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "98902",
            "country_code": "US",
            "telephone_number": "509-453-8600",
            "fax_number": "509-453-8616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "HOLLI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "1016",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OR",
            "license": "030892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHPW",
            "identifier": "1019672",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE PPO",
            "identifier": "770619165",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "9165CH",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00125317",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE OF WA",
            "identifier": "770619165",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH NETWORK",
            "identifier": "770619165",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "A003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "770619165",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "8381816",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "180216",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8931874",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFORM MEDICAL PLAN",
            "identifier": "770619165",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.