Individual provider Active NPI

Susan R Whipple, M.A., F-AAA

  • Audiologist-Hearing Aid Fitter
  • Mount Pleasant, WI
National Provider Identifier
1467493205
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
529-156 Issued in WI
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

Updated by the provider on May 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1467493205MedicaidWI
904580123MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040430001078 MI Practitioner - Qualified Audiologist 8426046327 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
526WIMDAudiologist
529-156WIMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Services Company USA, LLC CurrentSince Feb 6, 2018 Accepting new patients
Audiology Services Company USA, LLC CurrentSince Feb 6, 2018 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.

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.

Verify at the official NPI Registry.