Individual provider Active NPI

Lori Shapiro

  • Audiologist-Hearing Aid Fitter
  • Ypsilanti, MI
National Provider Identifier
1376750901
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
LL045012 Issued in MI
Practice address
5333 McAuley Drive
Suite 2016
Ypsilanti, MI 48197-1135
Phone
(734) 434-3200
Fax
(734) 712-3358
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X LL045012 MI Primary

Addresses

Primary practice location

5333 McAuley Drive
Suite 2016
Ypsilanti, MI 48197-1135

Mailing address

5333 McAuley Drive
Suite 2016
Ypsilanti, MI 48197
Phone (734) 434-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081215000249 MI Practitioner - Qualified Audiologist 6608938329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Otolaryngology SurgeryGroup PAC ID 1759442627, 20 clinicians

Practice addresses (Care Compare)

1600 S Canton Ctr Rd
Suite 350
Canton, MI 48188-6277
Phone (734) 398-7522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LL045012MIMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital Current Accepting new patients
Michigan Otolaryngology Surgery Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Feb 1, 2012 Accepting new patients
Michigan Otolaryngolgy Surgery Audiologist-Hearing Aid Fitter CurrentSince Oct 7, 2014 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Feb 1, 2012 Accepting new patients
Ear Nose and Throat Consultants PC PastSince Mar 18, 2013 Accepting new patients

Locations

1600 S Canton Center Rd
Ste 350
Canton, MI 48188
Phone (734) 398-0600

43750 Garfield Rd
Bldg B
Clinton Twp, MI 48038
Phone (248) 620-0044

43750 Garfield Rd
Ste 101
Clinton Twp, MI 48038
Phone (586) 263-7400

17770 Mack Ave
Grosse Pointe Shores, MI 48230
Phone (313) 882-1731

21000 E 12 Mile Rd
Ste 111
St Clr Shores, MI 48081
Phone (586) 779-7610

5333 McAuley Dr
Rm 2017
Ypsilanti, MI 48197
Phone (734) 434-3200

5333 McAuley Dr
Rm 2016
Ypsilanti, MI 48197
Phone (734) 221-5080

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1376750901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DRIVE",
            "address_2": "SUITE 2016",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "48197",
            "telephone_number": "734-434-3200",
            "fax_number": "734-712-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DRIVE",
            "address_2": "SUITE 2016",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971135",
            "telephone_number": "734-434-3200",
            "fax_number": "734-712-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "LL045012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.

Verify at the official NPI Registry.