Individual provider Active NPI

Mari Lee Chartier, M.A. CCC-A

  • Audiologist
  • Austin, TX
National Provider Identifier
1669636916
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
51012 Issued in TX
Practice address
3705 Medical Pkwy Ste 200
Austin, TX 78705-1027
Phone
(512) 324-2720
NPI assigned
Jul 16, 2008
Last updated
Jul 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 51012 TX Primary

Addresses

Primary practice location

3705 Medical Pkwy Ste 200
Austin, TX 78705-1027

Mailing address

3705 Medical Pkwy Ste 200
Austin, TX 78705-1027
Phone (512) 324-2720

Other practice location 1

4515 Seton Center Pkwy
Ste 100
Austin, TX 78759-5268
Phone (512) 346-5562

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090323000471 TX Practitioner - Qualified Audiologist 5597822395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dell Childrens Medical GroupGroup PAC ID 8224092978, 117 clinicians

Practice addresses (Care Compare)

3705 Medical Pkwy
Suite 200
Austin, TX 78705-1027
Phone (512) 324-2720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51012TXMDAudiologist

Interoperability endpoints

  • Direct secure messaging: mari.lee.chartier.1@8363.direct.athenahealth.com

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": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1669636916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051027",
            "telephone_number": "512-324-2720",
            "fax_number": "512-324-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051027",
            "telephone_number": "512-324-2720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 SETON CENTER PKWY",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595268",
            "country_code": "US",
            "telephone_number": "512-346-5562",
            "fax_number": "512-346-8846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARTIER",
        "first_name": "MARI LEE",
        "credential": "M.A. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.