Active NPI
Susan R Whipple, M.A., F-AAA
- Audiologist-Hearing Aid Fitter
- Mount Pleasant, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 529-156
- Practice address
- 6220 Washington Ave
Suite D
Mount Pleasant, WI 53406-3952 - Phone
- (262) 884-0600
- Fax
- (262) 884-0543
- NPI assigned
- Jun 10, 2006
- 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 | 529-156 | WI | Primary |
Addresses
Primary practice location
6220 Washington Ave
Suite D
Mount Pleasant, WI 53406-3952
Mailing address
140 Corporate Dr
Beaver Dam, WI 53916-1281
Phone (920) 887-2822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467493205 | Medicaid | WI | |
| 904580123 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 526 | WI | MD | Audiologist |
| 529-156 | WI | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Audiology Services Company USA, LLC | Current | Accepting new patients | |
| Avada Hearing Care | Past | Accepting new patients |
Locations
120 N Michigan Ave
Big Rapids, MI 49307
Phone (231) 796-4143
8854 E 34 Rd
Cadillac, MI 49601
Phone (231) 876-9260
1052 Cleaver Rd
Caro, MI 48723
Phone (989) 673-2933
2325 Summit Park Dr
Ste B
Petoskey, MI 49770
Phone (231) 347-1800
124 W Upton Ave
Reed City, MI 49677
Phone (231) 832-4565
113 E Long Lake Rd
Ste B
Troy, MI 48085
Phone (248) 435-6811
2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120
6220 Washington Ave
Ste D
Mount Pleasant, WI 53406
Phone (262) 884-0600
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Hearinglife
- Hearing and Speech Clinic/Center
- Somerset, NJ
- NPI 1033585302
MI
-
- Hearing and Speech Clinic/Center
- Melbourne, FL
- NPI 1902318108
-
- Hearing Instrument Specialist
- Beaver Dam, WI
- NPI 1528434909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1467493205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 CORPORATE DR",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539161281",
"telephone_number": "920-887-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6220 WASHINGTON AVE",
"address_2": "SUITE D",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534063952",
"telephone_number": "262-884-0600",
"fax_number": "262-884-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHIPPLE",
"first_name": "SUSAN",
"middle_name": "R",
"credential": "M.A., F-AAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "WI",
"license": "529-156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467493205",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "904580123",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.