Active NPI
Personalized Hearing Care
- Audiologist
- Westland, MI
National Provider Identifier
1447378773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000113
- Legal business name
- PERSONALIZED HEARING CARE
- Practice address
- 35337 Warren Rd
Westland, MI 48185-2013 - Phone
- (734) 467-5100
- Fax
- (734) 467-5103
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Karissa L Jagacki, AU.D.
- Title
- Audiologist
- Phone
- (734) 467-5100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000113 | MI | Primary |
Addresses
Primary practice location
35337 Warren Rd
Westland, MI 48185-2013
Mailing address
35337 Warren Rd
Westland, MI 48185-2013
Phone (734) 467-5100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 640H227530 | Other | MI | BLUE CROSS BLUE SHIELD |
| 540H104260 | Other | MI | BLUE CROSS BLUE SHIELD |
| 4433772 | Medicaid | MI | |
| 0H10426 | Other | MI | BLUE CARE NETWORK |
| 237600000X | Other | MI | PROVIDER TAXONOMIES |
| 4704347 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
35337 Warren Rd
Westland, MI 48185
Phone (734) 467-5100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1447378773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35337 WARREN RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481852013",
"telephone_number": "734-467-5100",
"fax_number": "734-467-5103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35337 WARREN RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481852013",
"telephone_number": "734-467-5100",
"fax_number": "734-467-5103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONALIZED HEARING CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "JAGACKI",
"authorized_official_first_name": "KARISSA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "AUDIOLOGIST",
"authorized_official_telephone_number": "734-467-5100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": "MI",
"license": "1601000113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "640H227530",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "540H104260",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4433772",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "0H10426",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER TAXONOMIES",
"identifier": "237600000X",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4704347",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.