Active NPI
Christy M Moon
- Audiologist
- East Chicago, IN
National Provider Identifier
1649600560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 23002475A
- Practice address
- 4321 Fir Street
Suite 410
East Chicago, IN 46342 - Phone
- (219) 392-7665
- Fax
- (219) 392-7993
- NPI assigned
- Nov 13, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 23002475A | IN | Primary |
Addresses
Primary practice location
4321 Fir Street
Suite 410
East Chicago, IN 46342
Mailing address
1500 S Lake Park Ave
Managed Care Departmant
Hobart, IN 46342-6638
Phone (219) 947-6113
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23002475A | IN | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1649600560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S LAKE PARK AVE",
"address_2": "MANAGED CARE DEPARTMANT",
"city": "HOBART",
"state": "IN",
"postal_code": "463426638",
"telephone_number": "219-947-6113",
"fax_number": "219-947-6503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4321 FIR STREET",
"address_2": "SUITE 410",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "46342",
"telephone_number": "219-392-7665",
"fax_number": "219-392-7993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "CHRISTY",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "IN",
"license": "23002475A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.