Active NPI
Bonnie L Scott, AUD
- Audiologist
- Troy, MI
National Provider Identifier
1376102277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000842
- Practice address
- 113 E Long Lake Rd Ste B
Troy, MI 48085-5500 - Phone
- (248) 435-6811
- NPI assigned
- Jun 13, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000842 | MI | Primary |
Addresses
Primary practice location
113 E Long Lake Rd Ste B
Troy, MI 48085-5500
Mailing address
872 Munson Ave Ste D
Traverse City, MI 49686-3638
Phone (231) 938-3111
Other names 1
- Bonnie L Montagino
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bonnie@audicare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audicare Hearing Centers Inc. | Past | Accepting new patients |
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.
-
- Audiologist-Hearing Aid Fitter
- Traverse City, MI
- NPI 1932144425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1376102277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "872 MUNSON AVE STE D",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496863638",
"telephone_number": "231-938-3111",
"fax_number": "231-938-3214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E LONG LAKE RD STE B",
"city": "TROY",
"state": "MI",
"postal_code": "480855500",
"telephone_number": "248-435-6811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "BONNIE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-13",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000842",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bonnie@audicare.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "829 W Main St Ste C1",
"city": "Gaylord",
"state": "MI",
"country_code": "US",
"postal_code": "497351998",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "BONNIE",
"last_name": "MONTAGINO",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.