Individual provider Active NPI

Christina L Radous, AU.D

  • Audiologist
  • Glendale, AZ
National Provider Identifier
1669645537
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
DA5043 Issued in AZ
Practice address
13934 N 59TH Ave Ste 120
Glendale, AZ 85306-4168
Phone
(480) 278-3220
Fax
(623) 512-4107
NPI assigned
Apr 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X DA5043 AZ
Audiologist 231H00000X DA5043 AZ Primary

Addresses

Primary practice location

13934 N 59TH Ave Ste 120
Glendale, AZ 85306-4168

Mailing address

22048 N 64TH Ave
Glendale, AZ 85310-4256

Other identifiers 1

IdentifierTypeStateIssuer
86-0783428OtherAZTAX-ID

Other names 1

  • Miss Christina Luna Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000667 AZ Practitioner - Qualified Audiologist 7911072749 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DA5043AZMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Hearcare Network, Inc Audiologist-Hearing Aid Fitter PastSince Apr 10, 2023 Accepting new patients
North Valley Ear, Nose & Throat Associates, P.C PastSince Jan 1, 1994 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
North Valley Ear, Nose & Throat Associates, P.C PastSince Feb 18, 2024 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Arizona Otolaryngology Consultants, PC Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1669645537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22048 N 64TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853104256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13934 N 59TH AVE STE 120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064168",
            "telephone_number": "480-278-3220",
            "fax_number": "623-512-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOUS",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "AU.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-10",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA5043",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "DA5043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX-ID",
            "identifier": "86-0783428",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "LUNA",
            "prefix": "MISS",
            "credential": "AU.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.