Freedom Mobile Hearing Services LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

572 Issued in CO

Legal business name

FREEDOM MOBILE HEARING SERVICES LLC

Practice address

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

Phone

(970) 217-7087

NPI assigned

Oct 5, 2015

Last updated

Oct 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine Russell, AU.D.NPI 1386969889

Title

Owner

Phone

(970) 217-7087

Specialties & licenses 1

Addresses

Other names 1

• Freedom Mobile Hearing Services Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Andrea Russell, AU.D.

  • Audiologist
  • Bellvue, CO
  • NPI 1386969889
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1487024337",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MOBILE HEARING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-217-7087",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "CO",
            "license": "572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Mobile Hearing Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jill Cottingham, MA, BCBA
• Amanda Lynn Deangelis, CLD
• Jolie L Dekleva, MPH
• Hunter J Dickson, LPCC
• Anne Maureen Dixon
• Interpersonal Solutions LLC
• Celeste Jibben, MD
• Molly Bea McLean, LPC.0012071
• Christine Andrea Russell, AU.D.
• Derrick R Stonecipher, MS

• Hearing and Speech Clinic/Center in Bellvue, CO
• Providers in Bellvue, CO by specialty
• Hearing and Speech Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.