Individual provider Active NPI

Christy M. Brown, AUDIOLOGIST

  • Audiologist
  • North Wilkesboro, NC
National Provider Identifier
1861651374
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
7604 Issued in NC
Practice address
100 9TH St
Suite B
North Wilkesboro, NC 28659-4169
Phone
(336) 667-4700
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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 1222 NC
Audiologist 231H00000X 7604 NC Primary

Addresses

Primary practice location

100 9TH St
Suite B
North Wilkesboro, NC 28659-4169

Mailing address

348 Melvin LN
Millers Creek, NC 28651-8779
Phone (336) 838-7256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081001000166 NC Practitioner - Qualified Audiologist 4789752999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 9TH St
B
North Wilkesboro, NC 28659-4169
Phone (336) 667-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1222NCMDAddiction (Substance Use Disorder) Counselor
7604NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hearing Center of Wilkes PLLC Audiologist CurrentSince Mar 19, 2012 Accepting new patients

Locations

100 9th St
#B
North Wilkesboro, NC 28659
Phone (336) 667-4700

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1861651374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 MELVIN LN",
            "city": "MILLERS CREEK",
            "state": "NC",
            "postal_code": "286518779",
            "telephone_number": "336-838-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 9TH ST",
            "address_2": "SUITE B",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594169",
            "telephone_number": "336-667-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "AUDIOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NC",
            "license": "1222",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "7604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.