Organization Active NPI

Advanced Audiology, LLC

  • Audiologist-Hearing Aid Fitter
  • Haslett, MI
National Provider Identifier
1417512682
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
Legal business name
ADVANCED AUDIOLOGY, LLC
Practice address
1536 Haslett Rd
Haslett, MI 48840-8472
Phone
(517) 896-4452
Fax
(517) 669-8070
NPI assigned
May 3, 2019
Organization subpart
Yes
Parent organization
ADVANCED AUDIOLOGY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Andy Laverne Wright
Title
Manager
Phone
(517) 669-8080

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193400000X SINGLE SPECIALTY GROUP 237600000X Primary
Hearing and Speech Clinic/Center 261QH0700X

Addresses

Primary practice location

1536 Haslett Rd
Haslett, MI 48840-8472

Mailing address

1536 Haslett Rd
Haslett, MI 48840-8472
Phone (517) 896-4452

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@AdvancedAudiologyDewitt.com Advanced Audiology, LLC

National Provider Directory

National Provider Directory
Tax ID family
Advanced Audiology LLC2 organizations share this tax ID, including this one
Part of
Advanced Audiology LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12775 Escanaba Dr
Ste 3
Dewitt, MI 48820
Phone (517) 669-8080

Interoperability endpoints

  • Direct secure messaging: office@advancedaudiologydewitt.com

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1417512682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 HASLETT RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408472",
            "telephone_number": "517-896-4452",
            "fax_number": "517-669-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 HASLETT RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408472",
            "telephone_number": "517-896-4452",
            "fax_number": "517-669-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AUDIOLOGY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED AUDIOLOGY, LLC",
        "enumeration_date": "2019-05-03",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "LAVERNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "517-669-8080"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@AdvancedAudiologyDewitt.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Advanced Audiology, LLC",
            "address_1": "12775 Escanaba Dr",
            "address_2": "Suite 3",
            "city": "DeWitt",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488208615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haslett, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.