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

Organization subpart

No

Name

Christine Russell, AU.D.NPI 1386969889

Title

Owner

Phone

(970) 217-7087

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christine Andrea Russell, AU.D.

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

• Freedom Mobile Hearing Services Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 5, 2015.

{
    "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

• All providers in Bellvue, CO
• 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.