Jennifer S Gruschke, M.A. CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1601000214 Issued in MI

Practice address

111 S 13TH Ave
Alpena, MI 49707-1609

Phone

(989) 354-4289

Fax

(989) 340-2446

NPI assigned

Mar 28, 2007

Last updated

Mar 15, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• G Donald Ohmart

  dba Northern Hearing Services

  • Audiologist-Hearing Aid Fitter
  • Alpena, MI
  • NPI 1386952216
  NPD (past) Authorized official

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1457470080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 13TH AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071609",
            "telephone_number": "989-354-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 13TH AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071609",
            "telephone_number": "989-354-4289",
            "fax_number": "989-340-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUSCHKE",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "credential": "M.A. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000214",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Heart Center of Alpena PLC
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• Gregg S Resnick DDS
• Teresa E Griffith, M.D.
• Makenna Alexis Grulke
• Dawn Grzeskowiak
• Guardian Speech Services LLC
• Brette Guckian, DO
• James Gunderson
• Dakota Gutzman

• Audiologist-Hearing Aid Fitter in Alpena, MI
• Providers in Alpena, 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 Mar 15, 2024; 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.