Individual provider Active NPI

Christine Kendall, MA

  • Audiologist
  • Mystic, CT
National Provider Identifier
1700929981
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
000256 Issued in CT
Practice address
14 Masons Island Rd
Mystic, CT 06355-2958
Phone
(860) 536-3078
Fax
(860) 444-2015
NPI assigned
Feb 15, 2007
Last updated
Aug 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 000256 CT Primary

Addresses

Primary practice location

14 Masons Island Rd
Mystic, CT 06355-2958

Mailing address

14 Masons Island Rd
Mystic, CT 06355-2958
Phone (860) 536-3078

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708001384 CT Practitioner - Qualified Audiologist 6800983461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 Masons Island Rd
Unit 2B
Mystic, CT 06355-2958
Phone 8605363078226

Merit-based Incentive Payment System (MIPS)

Final score
94.01 of 100Reported as group
Quality
98.76
Improvement activities
40
Cost
81.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000256CTMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ear,Nose and Throat Associates of Southeastern Connecticut, P.C. CurrentSince Jun 2, 2014 Accepting new patients
County Hearing and Balance, Inc. Audiologist Past Accepting new patients
Shoreline Audiology, LLC Audiologist PastSince Jul 1, 2007 Accepting new patients

Locations

14 Masons Island Rd
Mystic, CT 06355
Phone (860) 536-3078

14 Masons Island Rd
Unit 2B
Mystic, CT 06355
Phone (860) 536-3078

201 Boston Post Rd
Waterford, CT 06385
Phone (860) 442-0407

Organizations & group practices 3

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1700929981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MASONS ISLAND RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552958",
            "telephone_number": "860-536-3078",
            "fax_number": "860-444-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MASONS ISLAND RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552958",
            "telephone_number": "860-536-3078",
            "fax_number": "860-444-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CT",
            "license": "000256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.