Individual provider Active NPI

Margaret A Christiansen, AUD

  • Audiologist
  • Davenport, IA
National Provider Identifier
1669495503
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0524 Issued in IA
Practice address
2215 E 52ND St
Suite 2
Davenport, IA 52807-2786
Phone
(563) 355-7712
Fax
(563) 359-1325
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0524 IA Primary
Audiologist 231H00000X 147001031 IL
Hearing Instrument Specialist 237700000X 802 IA

Addresses

Primary practice location

2215 E 52ND St
Suite 2
Davenport, IA 52807-2786

Mailing address

2215 E 52ND St
Suite 2
Davenport, IA 52807-2786
Phone (563) 355-7712

Other identifiers 3

IdentifierTypeStateIssuer
211537OtherIAIOWA HEALTH SOLUTIONS
05571OtherIANATIONAL EAR CARE PLAN
0236760MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101110000893 IL Practitioner - Qualified Audiologist 9335334879 Reassigns benefits to 1 organization
I20110922000519 IA Practitioner - Qualified Audiologist 9335334879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Quad Cities Audiology Consultants, P.C.Group PAC ID 1052206075, 6 clinicians

Practice addresses (Care Compare)

2215 E 52ND St
Davenport, IA 52807-2786
Phone (563) 355-7712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0524IAMDAudiologist
147001031ILMDAudiologist
802IAMDMedical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1669495503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E 52ND ST",
            "address_2": "SUITE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072786",
            "telephone_number": "563-355-7712",
            "fax_number": "563-359-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E 52ND ST",
            "address_2": "SUITE 2",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072786",
            "telephone_number": "563-355-7712",
            "fax_number": "563-359-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "MARGARET",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IA",
            "license": "0524",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001031",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "IA",
            "license": "802",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA HEALTH SOLUTIONS",
            "identifier": "211537",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL EAR CARE PLAN",
            "identifier": "05571",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236760",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.