Christie Mattice, HAD,BC-HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HAD.0000431 Issued in CO

Practice address

1 Mercado St Ste 205
Durango, CO 81301-7310

Phone

(970) 385-7272

NPI assigned

Mar 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFBEAA

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.

• Southwestern Colorado Ear Nose and Throat

  • Otolaryngology Physician
  • Durango, CO
  • NPI 1689607947
  NPD
• Mountain Peace LLC

  • Medical Specialty Clinic/Center
  • Durango, CO
  • NPI 1982864757
  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1518542273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 205",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017310",
            "telephone_number": "970-385-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCADO ST STE 205",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017310",
            "telephone_number": "970-385-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTICE",
        "first_name": "CHRISTIE",
        "credential": "HAD,BC-HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CO",
            "license": "HAD.0000431",
            "primary": true
        },
        {
            "code": "2355A2700X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Audiology Assistant",
            "state": "CO",
            "license": "HAD.0000431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Martyn
• Mason O Miner DDS LLC
• Charles B Masters, MD
• John Mathers, DO
• Bethany Alaine Mathis, MSPO, CPO
• Paul A Mattox, MD
• Eli S Mauksch, DNP
• Rebecca Mauldin, RMT
• Max Toxicology LLC
• Jeff May, RPH

• Hearing Instrument Specialist in Durango, CO
• Providers in Durango, CO by specialty
• Hearing Instrument Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.