Active NPI
Christina L Radous, AU.D
- Audiologist
- Glendale, AZ
National Provider Identifier
1669645537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- DA5043
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86-0783428 | Other | AZ | TAX-ID |
Other names 1
- Miss Christina Luna
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DA5043 | AZ | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Hearcare Network, Inc | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| North Valley Ear, Nose & Throat Associates, P.C | Past | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Past | Accepting new patients | |
| North Valley Ear, Nose & Throat Associates, P.C | Past | 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.
-
- Audiologist-Hearing Aid Fitter
- Glendale, AZ
- NPI 1518947829
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- Specialist
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- NPI 1679538441
-
- Otolaryngology Physician
- Glendale, AZ
- NPI 1164287652
-
- Otolaryngology Physician
- Phoenix, AZ
- NPI 1457493165
-
- Family Medicine Physician
- Payson, AZ
- NPI 1740459700
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
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.