Individual provider Active NPI

Lindsay Reckinger, AU.D.

  • Audiologist
  • Petoskey, MI
National Provider Identifier
1467867549
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000677 Issued in MI
Practice address
1114 Charlevoix Ave
Petoskey, MI 49770-9701
Phone
(231) 489-8151
Fax
(231) 668-7794
NPI assigned
Jun 26, 2014
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000677 MI Primary

Addresses

Primary practice location

1114 Charlevoix Ave
Petoskey, MI 49770-9701

Mailing address

1114 Charlevoix Ave
Petoskey, MI 49770-9701

Other practice location 1

829 N Center Ave Ste 160
Gaylord, MI 49735-1598
Phone (231) 489-8151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140721000105 MI Practitioner - Qualified Audiologist 1759507221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Ear Nose and Throat Specialists PCGroup PAC ID 6002179835, 7 clinicians

Practice addresses (Care Compare)

1114 Charlevoix Ave
Petoskey, MI 49770-9701
Phone (231) 489-8151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1601000677MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Ear Nose & Throat Specialists PC CurrentSince May 21, 2018 Accepting new patients

Locations

101 Oxbow Dr
Alpena, MI 49707
Phone (231) 489-8151

829 N Center Ave
Ste 160
Gaylord, MI 49735
Phone (231) 487-3277

1114 Charlevoix Ave
Petoskey, MI 49770
Phone (231) 439-9700

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.821531

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.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1467867549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 CHARLEVOIX AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 CHARLEVOIX AVE",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709701",
            "telephone_number": "231-489-8151",
            "fax_number": "231-668-7794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 N Center Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "231-489-8151",
            "fax_number": "231-668-7794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECKINGER",
        "first_name": "LINDSAY",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.