Active NPI
Lee Micken, AU.D.
- Audiologist-Hearing Aid Fitter
- Bozeman, MT
National Provider Identifier
1437280849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 5
- Practice address
- 1008 N 7TH Ave
Bozeman, MT 59715-2567 - Phone
- (406) 586-0914
- Fax
- (406) 586-6667
- NPI assigned
- Mar 8, 2007
- Last updated
- Dec 3, 2007
- 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-Hearing Aid Fitter | 237600000X | 5 | MT | Primary |
Addresses
Primary practice location
1008 N 7TH Ave
Bozeman, MT 59715-2567
Mailing address
1008 N 7TH Ave
Bozeman, MT 59715-2567
Phone (406) 586-0914
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0535444 | Medicaid | MT | |
| 0569439 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Micken Hearing Services | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Audiologist-Hearing Aid Fitter
- Bozeman, MT
- NPI 1851364715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1437280849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 N 7TH AVE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597152567",
"telephone_number": "406-586-0914",
"fax_number": "406-586-6667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1008 N 7TH AVE",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597152567",
"telephone_number": "406-586-0914",
"fax_number": "406-586-6667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKEN",
"first_name": "LEE",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MT",
"license": "5",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0535444",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0569439",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.