Active NPI
Mackenzie Sue Mews, HIS
- Hearing Instrument Specialist
- Lake Geneva, WI
National Provider Identifier
1124708045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 2018-60
- Practice address
- 166 E Geneva SQ
Lake Geneva, WI 53147-9694 - Phone
- (262) 475-0880
- NPI assigned
- Jul 25, 2023
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2018-60 | WI | Primary |
Addresses
Primary practice location
166 E Geneva SQ
Lake Geneva, WI 53147-9694
Mailing address
166 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 475-0880
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-60 | WI | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1124708045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 E GENEVA SQ",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531479694",
"telephone_number": "262-475-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 E GENEVA SQ",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "531479694",
"telephone_number": "262-475-0880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEWS",
"first_name": "MACKENZIE",
"middle_name": "SUE",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-25",
"last_updated": "2023-07-25",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WI",
"license": "2018-60",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.