Individual provider Active NPI

Christine Andrea Russell, AU.D.

  • Audiologist
  • Bellvue, CO
National Provider Identifier
1386969889
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
572 Issued in CO
Practice address
3100 N County Road 25 E
Bellvue, CO 80512-5922
Phone
(970) 217-7087
Fax
(970) 797-1248
NPI assigned
Mar 29, 2010
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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

State licenses

LicenseStateTypeSpecialty
572COMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Soundpoint Audiology & Hearing Services LLC Audiologist Past Accepting new patients
Freedom Mobile Hearing Services LLC Past Accepting new patients
Northland Hearing Centers, Inc. Past Accepting new patients
Northland Hearing Centers, Inc. Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 572 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

3100 N County Road 25 E
Bellvue, CO 80512-5922

Mailing address

3100 N County Road 25 E
Bellvue, CO 80512-5922
Phone (970) 217-7087

Other names 1

NPPES NPI Registry
  • Dr. Christine Andrea Tobin Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 1, 2016.

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1386969889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 N COUNTY ROAD 25 E",
            "city": "BELLVUE",
            "state": "CO",
            "postal_code": "805125922",
            "telephone_number": "970-217-7087",
            "fax_number": "970-797-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N COUNTY ROAD 25 E",
            "city": "BELLVUE",
            "state": "CO",
            "postal_code": "805125922",
            "telephone_number": "970-217-7087",
            "fax_number": "970-797-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "CHRISTINE",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "TOBIN",
            "middle_name": "ANDREA",
            "prefix": "DR.",
            "credential": "AU.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellvue, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.