Ellen Caroline Christensen, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

147001659 Issued in IL

Practice address

800 School St
Carrollton, IL 62016-1436

Phone

(217) 942-6946

Fax

(217) 942-9012

NPI assigned

Dec 6, 2017

Last updated

Nov 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ellen Caroline Avoletta Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Smith Hearing Technologies, LLC

  • Hearing Instrument Specialist
  • Decatur, IL
  • NPI 1871771774
  NPD (past)

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1790290252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 1/2 W MONROE ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041828",
            "telephone_number": "217-653-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SCHOOL ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161436",
            "telephone_number": "217-942-6946",
            "fax_number": "217-942-9012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 W Main St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "IL",
            "postal_code": "625231215",
            "country_code": "US",
            "telephone_number": "217-422-6042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Chatham Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627041532",
            "country_code": "US",
            "telephone_number": "217-698-9828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "ELLEN",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147001659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSURE",
            "identifier": "147001659",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "AVOLETTA",
            "middle_name": "CAROLINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander Beavers, DMD
• R Scott Beavers, DDS
• Kyndal Brown
• Carrollton Cu School Dist 1
• Carrollton Family Dental
• County of Greene (Greene County Health Department)
• County of Greene (Greene County Health Department)
• Skylar Richard Cox, DMD
• Cypress Therapy and Rehabilitation, LLC
• Dee Anna Darr, MS SLP CCCL

• Audiologist in Carrollton, IL
• Providers in Carrollton, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.