Active NPI
Paulette G McDonald, M.A., CCC-A
- Audiologist-Hearing Aid Fitter
- Farmington Hills, MI
National Provider Identifier
1073781001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 1601000199
- Practice address
- 30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334-3230 - Phone
- (248) 865-4444
- Fax
- (248) 865-6161
- NPI assigned
- Feb 12, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 1601000199 | MI | Primary |
Addresses
Primary practice location
30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334-3230
Mailing address
30055 Northwestern Hwy
Suite 101
Farmington Hills, MI 48334-3230
Phone (248) 865-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1601000199 | Other | MI | STATE LICENSE |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000199 | MI | MD | Audiologist-Hearing Aid Fitter |
Interoperability endpoints
- paulette.mcdonald.1@21058.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1073781001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30055 NORTHWESTERN HWY",
"address_2": "SUITE 101",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343230",
"telephone_number": "248-865-4444",
"fax_number": "248-865-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30055 NORTHWESTERN HWY",
"address_2": "SUITE 101",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343230",
"telephone_number": "248-865-4444",
"fax_number": "248-865-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "PAULETTE",
"middle_name": "G",
"credential": "M.A., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-12",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "1601000199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1601000199",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.