Nancy Ann Northway, MS CCA
Individual provider Active NPI Audiologist-Hearing Aid Fitter · Madison HGTS, MI
NPI 1013091909 · NPPES record last updated Sep 9, 2008
Key facts
- NPI
- 1013091909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist-Hearing Aid Fitter 237600000X
- License
- 3501004618 (MI)
- Practice address
- 27483 Dequindre
Ste 201
Madison HGTS, MI 48071-5711 - Phone
- (248) 541-0100
- Fax
- (248) 399-3960
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000094 | MI | MD | Audiologist |
| 3501004618 | MI | MD | Audiologist-Hearing Aid Fitter |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000094 | MI | |
| Audiologist-Hearing Aid Fitter | 237600000X | 3501004618 | MI | Yes |
Addresses
Primary practice location
27483 Dequindre
Ste 201
Madison HGTS, MI 48071-5711
Mailing address
27483 Dequindre
Ste 201
Madison HGTS, MI 48071-5711
Phone (248) 541-0100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4812649 | Medicaid | MI | |
| 64OF336900 | Other | MI | BCBSMI |
| 4812620 | Medicaid | MI | |
| 4812602 | Medicaid | MI | |
| 4812630 | Medicaid | MI |
Other providers in Madison HGTS, MI
All providers in Madison HGTS, MI · Audiologist-Hearing Aid Fitter in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.