Active NPI
Christie Burnett Anderson, M.A.
- Audiologist
- Hailey, ID
National Provider Identifier
1487079802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD-2522
- Practice address
- 221 S River St
Hailey, ID 83333-8436 - Phone
- (208) 788-0296
- Fax
- (208) 788-9679
- NPI assigned
- Feb 21, 2014
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| AUD-2522 | ID | MD | Audiologist |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD-2522 | ID | Primary |
Addresses
Primary practice location
221 S River St
Hailey, ID 83333-8436
Mailing address
1415 Parkview Dr
Ste 100
Twin Falls, ID 83301-3250
Phone (208) 733-0601
NPI Registry JSON
{
"created_epoch": "1392940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496361600000",
"number": "1487079802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 PARKVIEW DR",
"address_2": "STE 100",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833013250",
"telephone_number": "208-733-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 S RIVER ST",
"city": "HAILEY",
"state": "ID",
"postal_code": "833338436",
"telephone_number": "208-788-0296",
"fax_number": "208-788-9679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "CHRISTIE",
"middle_name": "BURNETT",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-21",
"last_updated": "2017-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "ID",
"license": "AUD-2522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hailey, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.