Christine W. Pickup, AUD CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD-1529 Issued in ID

Practice address

1218 9TH St Ste 2
Rupert, ID 83350-2207

Phone

(208) 312-0957

Fax

(888) 299-3160

NPI assigned

Apr 18, 2008

Last updated

Feb 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mt Harrison Audiology and Hearing AIDS LLCGroup PAC ID 6002036019, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mt. Harrison Audiology and Hearing AIDS LLC

  • Hearing and Speech Clinic/Center
  • Rupert, ID
  • NPI 1467871913
  Medicare reassignment Care Compare group NPD Authorized official
• Hearing Counselors and Audiologists, Inc

  • Audiologist
  • Twin Falls, ID
  • NPI 1679693717
  NPD (past)

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1881868032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 9TH ST STE 2",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833502207",
            "telephone_number": "208-312-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 9TH ST STE 2",
            "city": "RUPERT",
            "state": "ID",
            "postal_code": "833502207",
            "telephone_number": "208-312-0957",
            "fax_number": "888-299-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKUP",
        "first_name": "CHRISTINE",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "AUD CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-18",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "ID",
            "license": "AUD-1529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467871913",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Moore
• Mt. Harrison Audiology and Hearing AIDS LLC
• Brian R Muir, D.O.
• Davee Carpenter Mussmann, DPT
• Marcus E Peterson, DDS
• Progressive Behavior Systems PA
• Progressive Behavior Systems PA
• Progressive Behavior Systems PA
• Progressive Behavior Systems, PA
• Quest Behavioral Health LLC (Quest Behavioral Health)

• Audiologist in Rupert, ID
• Providers in Rupert, ID by specialty
• Audiologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.