Active NPI
Michelle Christie
- Hearing Instrument Specialist
- Fernandina Beach, FL
National Provider Identifier
1881288025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5630
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AS5630 | FL | MD | Hearing Instrument Specialist |
| HADS001053 | GA | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity Professional Hearing Aid Center | Current | Accepting new patients | |
| Connect Hearing Inc | Hearing Instrument Specialist | Past | Accepting new patients |
| My Hearing Centers Holding Inc. | Hearing Instrument Specialist | Past | 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.
-
- Hearing and Speech Clinic/Center
- Fernandina Beach, FL
- NPI 1134801277
-
dba AudioNova
- Hearing Aid Equipment
- Boynton Beach, FL
- NPI 1558033142
Hearing Instrument Specialist
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
- Dorie M Chauncey, LMT
- Dennis Qicong Chen, MD
- Steven T Chenoweth, PT
- Elizabeth McGehee Cherry, LMHC
- Christian Caregivers Healthcare (Christian Caregivers)
- Sharon Ann Chunn, LMHC, LPC
- City of Fernandina Beach (City of Fernandina Beach Fire Rescue)
- Clarity Professional Hearing Aid Center
- John D Clark, M.D.
- Kathryn A Clark, PHARM D
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.