Active NPI
Peggy Jo Frank, MA CCC-A
- Audiologist-Hearing Aid Fitter
- Greenville, MI
National Provider Identifier
1477541589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 3501002249
- Practice address
- 322 S. Lafayette Street
Suite D
Greenville, MI 48838 - Phone
- (616) 225-9892
- Fax
- (616) 225-9892
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | 3501002249 | MI | Primary |
Addresses
Primary practice location
322 S. Lafayette Street
Suite D
Greenville, MI 48838
Mailing address
322 S. Lafayette Street
Suite D
Greenville, MI 48838
Phone (616) 225-9892
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804675488 | Medicaid | MI | |
| 640D113770 | Other | MI | BCBS AUDIOLOGY GROUP |
| 640D113780 | Other | MI | BCBS AUDIOLOGY INDIVIDUAL |
| 903471250 | Medicaid | MI | |
| 540D113710 | Other | MI | BCBS HEARING AID DEALER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1989
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
322 S Lafayette St
Suite D
Greenville, MI 48838-1965
Phone (616) 225-9892
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
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 and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Greenville, MI
- NPI 1881865947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1477541589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 S. LAFAYETTE STREET",
"address_2": "SUITE D",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "48838",
"telephone_number": "616-225-9892",
"fax_number": "616-225-9892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 S. LAFAYETTE STREET",
"address_2": "SUITE D",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "48838",
"telephone_number": "616-225-9892",
"fax_number": "616-225-9892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANK",
"first_name": "PEGGY",
"middle_name": "JO",
"credential": "MA CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "3501002249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804675488",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AUDIOLOGY GROUP",
"identifier": "640D113770",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AUDIOLOGY INDIVIDUAL",
"identifier": "640D113780",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "903471250",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS HEARING AID DEALER",
"identifier": "540D113710",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.