Active NPI
Skye Gregory-Hatch
- Audiologist-Hearing Aid Fitter
- Waterville, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- AP3961
- Practice address
- 105 Kennedy Memorial Dr
Waterville, ME 04901-5131 - Phone
- (207) 577-3310
- NPI assigned
- Jun 6, 2019
- Reactivated
- Aug 2, 2023
- Last updated
- Aug 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AP3961 | ME | Primary |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
105 Kennedy Memorial Dr
Waterville, ME 04901-5131
Mailing address
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Other practice location 1
27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Phone (248) 436-4400
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S Beacon Blvd
Suite 140
Grand Haven, MI 49417-2654
Phone (616) 414-9062
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Shore Otolaryngology PC | Current | Accepting new patients | |
| West Shore Otolaryngology PC | Current | Accepting new patients |
Locations
1600 S Beacon Blvd
Ste 140
Grand Haven, MI 49417
Phone 2317772625 ext. 233
1450 Farr Rd
Ste 5000
Norton Shores, MI 49444
Phone (231) 739-9095
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba West Shore ENT & Allergy Farr Rd
- Multi-Specialty Clinic/Center
- Norton Shores, MI
- NPI 1548764426
-
dba West Shore ENT & Allergy Grand Haven
- Multi-Specialty Clinic/Center
- Grand Haven, MI
- NPI 1871097782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1285293035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27777 INKSTER RD STE 100",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 KENNEDY MEMORIAL DR",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015131",
"telephone_number": "207-577-3310"
}
],
"practiceLocations": [
{
"address_1": "27777 Inkster Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483345326",
"country_code": "US",
"telephone_number": "248-436-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREGORY-HATCH",
"first_name": "SKYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"deactivation_date": "2023-07-06",
"reactivation_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "ME",
"license": "AP3961",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.