Individual provider Active NPI

Lisa Ann Hamzik, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Grand Blanc, MI
National Provider Identifier
1215974175
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1601000145 Issued in MI
Practice address
6160 S Saginaw Rd
Grand Blanc, MI 48439-7026
Phone
(810) 603-1747
Fax
(810) 603-9569
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000145 MI
Assistive Technology Supplier Audiologist 231HA2500X 1601000145 MI
Audiologist-Hearing Aid Fitter 237600000X 1601000145 MI Primary

Addresses

Primary practice location

6160 S Saginaw Rd
Grand Blanc, MI 48439-7026

Mailing address

2700 Shimmons Rd Lot 129
Auburn Hills, MI 48326-2047
Phone (248) 762-4929

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1215974175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SHIMMONS RD LOT 129",
            "city": "AUBURN HILLS",
            "state": "MI",
            "postal_code": "483262047",
            "telephone_number": "248-762-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 S SAGINAW RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397026",
            "telephone_number": "810-603-1747",
            "fax_number": "810-603-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMZIK",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000145",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "MI",
            "license": "1601000145",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.