Active NPI
Lorraine Marie Provost
- Hearing Instrument Specialist
- Davison, MI
National Provider Identifier
1225337488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3501002446
- Practice address
- 1063 S State Rd Ste 1
Davison, MI 48423-1900 - Phone
- (810) 653-3277
- Fax
- (810) 653-3244
- NPI assigned
- Mar 26, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 3501002446 | MI | Primary |
Addresses
Primary practice location
1063 S State Rd Ste 1
Davison, MI 48423-1900
Mailing address
1063 S State Rd Ste 1
Davison, MI 48423-1900
Phone (810) 653-3277
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 |
|---|---|---|---|
| 3501002446 | MI | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301097600000",
"number": "1225337488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 S STATE RD STE 1",
"city": "DAVISON",
"state": "MI",
"postal_code": "484231900",
"telephone_number": "810-653-3277",
"fax_number": "810-653-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 S STATE RD STE 1",
"city": "DAVISON",
"state": "MI",
"postal_code": "484231900",
"telephone_number": "810-653-3277",
"fax_number": "810-653-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROVOST",
"first_name": "LORRAINE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-26",
"last_updated": "2011-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MI",
"license": "3501002446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.