Active NPI
Alyssa Rose, AUD
- Audiologist
- Mt Pleasant, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Practice address
- 1290 E Broomfield St
Mt Pleasant, MI 48858-4449 - Phone
- (989) 773-1209
- Fax
- (989) 773-4267
- NPI assigned
- Aug 25, 2021
- 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 | 231H00000X | Primary |
Addresses
Primary practice location
1290 E Broomfield St
Mt Pleasant, MI 48858-4449
Mailing address
1290 E Broomfield St
Mt Pleasant, MI 48858-4449
Phone (989) 773-1209
Other practice location 1
1504 Harcrest Dr Ste 3
Midland, MI 48640-4717
Phone (989) 835-1219
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1504 Harcrest Dr
Suite 3
Midland, MI 48640-4717
Phone (989) 835-1219
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Michigan Audiology LLC | Audiologist | Current | Accepting new patients |
Locations
647 W Warwick Dr
Alma, MI 48801
Phone (989) 463-0951
4615 Eastman Ave
Midland, MI 48640
Phone (989) 631-7110
1504 Harcrest Dr
Ste 3
Midland, MI 48640
Phone (989) 636-7580
1290 E Broomfield St
Mt Pleasant, MI 48858
Phone (989) 341-4716
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1144997354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1290 E BROOMFIELD ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488584449",
"telephone_number": "989-773-1209",
"fax_number": "989-773-4267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 E BROOMFIELD ST",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488584449",
"telephone_number": "989-773-1209",
"fax_number": "989-773-4267"
}
],
"practiceLocations": [
{
"address_1": "1504 Harcrest Dr Ste 3",
"address_purpose": "LOCATION",
"city": "Midland",
"state": "MI",
"postal_code": "486404717",
"country_code": "US",
"telephone_number": "989-835-1219",
"fax_number": "989-835-7198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "ALYSSA",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-25",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.