Active NPI
Christin Angela Peyerk, AU.D.
- Audiologist-Hearing Aid Fitter
- Shelby Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 1601000428
- Practice address
- 48465 Van Dyke Ave
Suite a
Shelby Township, MI 48317-3272 - Phone
- (586) 801-7738
- NPI assigned
- Jan 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 1601000428 | MI | Primary |
| Audiologist | 231H00000X |
Addresses
Primary practice location
48465 Van Dyke Ave
Suite a
Shelby Township, MI 48317-3272
Mailing address
48465 Van Dyke Ave
Suite a
Shelby Township, MI 48317-3272
Phone (586) 801-7738
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640E020600 | Other | BCBSM | |
| 640E020600 | Other | BCN | |
| 383197834 | Other | MI | COMMERICAL |
| 640E020600 | Other | MI | BCBSM |
Other names 1
- Christin Angela Pfent
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, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
49050 Schoenherr Rd
Suite 200
Shelby Township, MI 48315-3848
Phone (586) 803-4740
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Care Center Inc | Current | Accepting new patients | |
| Shining Light Counseling, LLC | Past | Accepting new patients |
Locations
49050 Schoenherr Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 803-4740
48465 Van Dyke Ave
Ste A
Shelby Township, MI 48317
Phone (586) 488-3175
Organizations & group practices 2
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.
-
- Hearing and Speech Clinic/Center
- Shelby Township, MI
- NPI 1639615842
-
- Counselor
- Shelby Township, MI
- NPI 1528561628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1174700538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48465 VAN DYKE AVE",
"address_2": "SUITE A",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483173272",
"telephone_number": "586-801-7738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48465 VAN DYKE AVE",
"address_2": "SUITE A",
"city": "SHELBY TOWNSHIP",
"state": "MI",
"postal_code": "483173272",
"telephone_number": "586-801-7738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEYERK",
"first_name": "CHRISTIN",
"middle_name": "ANGELA",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "1601000428",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "640E020600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "640E020600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERICAL",
"identifier": "383197834",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "640E020600",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTIN",
"last_name": "PFENT",
"middle_name": "ANGELA",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Shelby Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.