Active NPI
Kristen Birch
- Audiologist
- Mt Pleasant, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000816
- Practice address
- 1101 Health Professions BLD
Mt Pleasant, MI 48859-0001 - Phone
- (989) 774-3904
- Fax
- (989) 774-1891
- NPI assigned
- Jul 20, 2016
- Last updated
- Sep 28, 2018
- 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 | 231H00000X | RPE10750 | CA | |
| Audiologist | 231H00000X | 1601000816 | MI | Primary |
Addresses
Primary practice location
1101 Health Professions BLD
Mt Pleasant, MI 48859-0001
Mailing address
1101 Health Professions BLD
Mt Pleasant, MI 48859-0001
Phone (989) 774-3904
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Health Professions BLDG
Mt Pleasant, MI 48859-0001
Phone (989) 774-3904
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPE10750 | CA | MD | Audiologist |
| 1601000816 | MI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Michigan University | Current | Accepting new patients | |
| Central Michigan University | Current | Accepting new patients | |
| Central Michigan University | Audiologist | Current | Accepting new patients |
Locations
1101 Health Professions
Mount Pleasant, MI 48859
Phone (989) 774-2597
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Mt Pleasant, MI
- NPI 1487686754
-
- Sports Medicine (Family Medicine) Physician
- Mt Pleasant, MI
- NPI 1447606801
-
dba Central Michigan Universiy
- Audiologist
- Mt Pleasant, MI
- NPI 1619062817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1275986689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 HEALTH PROFESSIONS BLD",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488590001",
"telephone_number": "989-774-3904",
"fax_number": "989-774-1891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 HEALTH PROFESSIONS BLD",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488590001",
"telephone_number": "989-774-3904",
"fax_number": "989-774-1891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCH",
"first_name": "KRISTEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "RPE10750",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000816",
"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 Sep 28, 2018; 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.