Active NPI
Michele Kari Gross
- Audiologist-Hearing Aid Fitter
- South Bend, IN
National Provider Identifier
1104183474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- Practice address
- 919 E Jefferson Blvd
Ste.104
South Bend, IN 46617-3112 - Phone
- (574) 232-8515
- Fax
- (574) 289-4327
- NPI assigned
- Apr 11, 2012
- 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 | Primary |
Addresses
Primary practice location
919 E Jefferson Blvd
Ste.104
South Bend, IN 46617-3112
Mailing address
919 E Jefferson Blvd
Ste.104
South Bend, IN 46617-3112
Phone (574) 232-8515
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D&a Dissolving, Inc. | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- South Bend, IN
- NPI 1013027242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1104183474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 E JEFFERSON BLVD",
"address_2": "STE.104",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466173112",
"telephone_number": "574-232-8515",
"fax_number": "574-289-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 E JEFFERSON BLVD",
"address_2": "STE.104",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466173112",
"telephone_number": "574-232-8515",
"fax_number": "574-289-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "MICHELE",
"middle_name": "KARI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.