Organization Active NPI

Dr. Christine M. Kent, Audiologist PA

  • Hearing Aid Equipment
  • St Augustine, FL
National Provider Identifier
1548984289
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Aid EquipmentTaxonomy code 332S00000X
Legal business name
DR. CHRISTINE M. KENT, AUDIOLOGIST PA
Practice address
153 Latrobe Ave
St Augustine, FL 32095-8613
Phone
(631) 241-0215
NPI assigned
Sep 27, 2022
Last updated
Sep 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Christine KentNPI 1790935765
Title
Owner
Phone
(631) 241-0215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Aid Equipment 332S00000X Primary

Addresses

Primary practice location

153 Latrobe Ave
St Augustine, FL 32095-8613

Mailing address

153 Latrobe Ave
St Augustine, FL 32095-8613

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckone326@verizon.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230209001729 FL Part B Supplier - Clinic/Group Practice 4688046170 Receives reassigned benefits from 1 practitioner
Practice locations: St Augustine, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1548984289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 LATROBE AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 LATROBE AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958613",
            "telephone_number": "631-241-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CHRISTINE M. KENT, AUDIOLOGIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-241-0215"
    },
    "taxonomies": [
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckone326@verizon.net",
            "affiliation": "N",
            "address_1": "153 Latrobe Ave",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320958613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.