Organization Active NPI

Christina Vail Audiology Inc

  • Audiologist
  • Towanda, PA
National Provider Identifier
1831234327
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
CHRISTINA VAIL AUDIOLOGY INC
Practice address
375 A York Ave
Towanda, PA 18848
Phone
(570) 265-0997
Fax
(570) 268-5617
NPI assigned
Feb 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Christina L Vail, AUDNPI 1275750499
Title
Owner President
Phone
(570) 265-0997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X NU Primary

Addresses

Primary practice location

375 A York Ave
Towanda, PA 18848

Mailing address

375 A York Ave
Towanda, PA 18848
Phone (570) 265-0997

Other identifiers 3

IdentifierTypeStateIssuer
41609OtherPAGEISINGER
1011831400001MedicaidPA
CH093901OtherPABCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050907000897 PA Part B Supplier - Clinic/Group Practice 1456383710 Receives reassigned benefits from 1 practitioner
Practice locations: Athens, PA; Towanda, PA

National Provider Directory

National Provider Directory

Locations

377 York Ave
Towanda, PA 18848
Phone (570) 265-0997

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831234327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 A YORK AVE",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "18848",
            "telephone_number": "570-265-0997",
            "fax_number": "570-268-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 A YORK AVE",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "18848",
            "telephone_number": "570-265-0997",
            "fax_number": "570-268-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA VAIL AUDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAIL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "570-265-0997",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "41609",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011831400001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CH093901",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towanda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.