Active NPI
Christine Rose Tobin, AU.D
- Audiologist
- Princeton, MN
National Provider Identifier
1922011469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 6301
- Practice address
- 101 6TH Avenue
Ste. 109
Princeton, MN 55371 - Phone
- (763) 631-3277
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 6301 | MN | Primary |
Addresses
Primary practice location
101 6TH Avenue
Ste. 109
Princeton, MN 55371
Mailing address
101 6TH Avenue
Ste. 109
Princeton, MN 55371
Phone (763) 631-3277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640000325 | Other | MN | MEDICARE- TYPE UNSPECIFIE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050308000046 | MN | Practitioner - Qualified Audiologist | 5193779700 | Practice locations: Onamia, MN; Plymouth, MN; Princeton, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 6TH Ave
Suite 109
Princeton, MN 55371-1819
101 6TH Ave S
Suite 109
Princeton, MN 55371-1852
Phone (763) 631-3277
101 6TH S Ave
Suite 109
Princeton, MN 55371-1852
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301 | MN | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1922011469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 6TH AVENUE",
"address_2": "STE. 109",
"city": "PRINCETON",
"state": "MN",
"postal_code": "55371",
"telephone_number": "763-631-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 6TH AVENUE",
"address_2": "STE. 109",
"city": "PRINCETON",
"state": "MN",
"postal_code": "55371",
"telephone_number": "763-631-3277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIN",
"first_name": "CHRISTINE",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "AU.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MN",
"license": "6301",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE- TYPE UNSPECIFIE",
"identifier": "640000325",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.