Individual provider Active NPI

Christie H Burch, AUDIOLOGIST

  • Audiologist
  • Tuscaloosa, AL
National Provider Identifier
1801069141
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
895A Issued in AL
Practice address
1800 McFarland Blvd N
Suite 330
Tuscaloosa, AL 35406-2114
Phone
(205) 242-0707
NPI assigned
Apr 8, 2008
Last updated
Dec 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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
Audiologist 231H00000X 895A AL Primary

Addresses

Primary practice location

1800 McFarland Blvd N
Suite 330
Tuscaloosa, AL 35406-2114

Mailing address

1800 McFarland Blvd N Ste 330
Tuscaloosa, AL 35406-2180
Phone (205) 345-7614

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000744 AL Practitioner - Qualified Audiologist 9032189287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
895AALMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Audiology LLC Audiologist CurrentSince Sep 11, 2012 Accepting new patients
Ear Nose and Throat Associates of PastSince Aug 3, 2020 Accepting new patients
North River E.N.T., PC Past Accepting new patients
Southeastern Hearing Services, Inc. Audiologist Past Accepting new patients

Locations

1800 McFarland Blvd N
Ste 330
Tuscaloosa, AL 35406
Phone (205) 242-0707

Organizations & group practices 4

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1801069141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MCFARLAND BLVD N STE 330",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062180",
            "telephone_number": "205-345-7614",
            "fax_number": "205-345-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCFARLAND BLVD N",
            "address_2": "SUITE 330",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062114",
            "telephone_number": "205-242-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "CHRISTIE",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AL",
            "license": "895A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.