Susan Kay Barnard, MA CCCA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000155 Issued in MI

Practice address

1450 Farr Rd Ste 5000
Norton Shores, MI 49444-7789

Phone

(231) 739-9095

Fax

(231) 739-6439

NPI assigned

Nov 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miss Susan Kay Ellis Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1376725838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 FARR RD STE 5000",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494447789",
            "telephone_number": "231-739-9095",
            "fax_number": "231-739-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 FARR RD STE 5000",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494447789",
            "telephone_number": "231-739-9095",
            "fax_number": "231-739-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNARD",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "MA CCCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-27",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "804678588",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "902613459",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "westshoreentallergy@allmedsccd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1450 Farr Rd Ste 5000",
            "city": "Norton Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494447789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ELLIS",
            "middle_name": "KAY",
            "prefix": "MISS",
            "credential": "MA CCCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Baker, LMSW
• Michael Banka, MD
• Jasmine Nicole Bankhead
• Somer L Bareman, NP
• Wesley Barger, PT, DPT
• Joshua Thomas Bartoe, DVM
• Heidi Lynn Baweja, MS OTR/L
• Tasha Lynette Baylor, LLMSW
• Zhone Beacham
• Sarna R Becker, MD

• Audiologist in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.