Krista Lauren Broullire Frick, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1601000576 Issued in MI

Practice address

14600 King Rd
Suite D
Riverview, MI 48193-7952

Phone

(734) 486-4444

Fax

(734) 486-5555

NPI assigned

Jun 2, 2011

Last updated

Jun 2, 2011By the provider in NPPES

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 names 1

• Krista Lauren Broullire Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Upper Peninsula Audiology IncGroup PAC ID 5698087716, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Upper Peninsula Audiology Inc.

  • Audiologist
  • Houghton, MI
  • NPI 1144608704
  Medicare reassignment Care Compare group
• Daniel Reminga DPM PLLC

  • Foot & Ankle Surgery Podiatrist
  • Houghton, MI
  • NPI 1154753283
  NPD (past)

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1396039749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 KING RD",
            "address_2": "SUITE D",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937952",
            "telephone_number": "734-486-4444",
            "fax_number": "734-486-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14600 KING RD",
            "address_2": "SUITE D",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937952",
            "telephone_number": "734-486-4444",
            "fax_number": "734-486-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICK",
        "first_name": "KRISTA",
        "middle_name": "LAUREN BROULLIRE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "BROULLIRE",
            "middle_name": "LAUREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle E Ekin, DPT
• Helen Etemadi, DO
• Family Health PC
• Cristina Natasha Franqui
• Michael Andrew Freedman, DO
• Scott Friedman, D.O.
• Karen Joanne Fron, MPT, OMPT, CLT
• Florence Garcia
• Garry Garcia, PT
• Skye Gasidlo

• Audiologist-Hearing Aid Fitter in Riverview, MI
• Providers in Riverview, MI by specialty
• Audiologist-Hearing Aid Fitter in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.