Individual provider Active NPI

Michelle Christie

  • Hearing Instrument Specialist
  • Fernandina Beach, FL
National Provider Identifier
1881288025
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
AS5630 Issued in FL
Practice address
1010 Atlantic Ave Ste F
Fernandina Beach, FL 32034-3669
Phone
(904) 820-4600
Fax
(904) 663-0001
NPI assigned
Mar 1, 2021
Last updated
Aug 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HADS001053 GA
Hearing Instrument Specialist 237700000X AS5630 FL Primary

Addresses

Primary practice location

1010 Atlantic Ave Ste F
Fernandina Beach, FL 32034-3669

Mailing address

1010 Atlantic Ave Ste F
Fernandina Beach, FL 32034-3669
Phone (904) 820-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AS5630FLMDHearing Instrument Specialist
HADS001053GAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Professional Hearing Aid Center CurrentSince Sep 5, 2023 Accepting new patients
Connect Hearing Inc Hearing Instrument Specialist PastSince Dec 1, 2021 Accepting new patients
My Hearing Centers Holding Inc. Hearing Instrument Specialist PastSince Mar 1, 2021 Accepting new patients

Locations

1010 Atlantic Ave
Ste F
Fernandina Beach, FL 32034
Phone (904) 820-4600

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1881288025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 ATLANTIC AVE STE F",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343669",
            "telephone_number": "904-820-4600",
            "fax_number": "904-663-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 ATLANTIC AVE STE F",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343669",
            "telephone_number": "904-820-4600",
            "fax_number": "904-663-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIE",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "GA",
            "license": "HADS001053",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS5630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.