Jeanette Lynn Dossin, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000060 Issued in MI

Practice address

1273 Gratiot Blvd Ste 2
Marysville, MI 48040-2303

Phone

(810) 364-1170

NPI assigned

Jan 20, 2006

Reactivated

Oct 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Jeanette Lynn O'Brien Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifetime Hearing LLCGroup PAC ID 3971847328, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifetime Hearing LLC

  • Audiologist
  • Marysville, MI
  • NPI 1043785355

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1487634945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 SAINT ANDREWS DR",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480602328",
            "telephone_number": "810-252-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 GRATIOT BLVD STE 2",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480402303",
            "telephone_number": "810-364-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Berkshire Ln N",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554414575",
            "country_code": "US",
            "telephone_number": "800-888-8882",
            "fax_number": "763-557-8828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOSSIN",
        "first_name": "JEANETTE",
        "middle_name": "LYNN",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2018-10-19",
        "deactivation_date": "2018-10-12",
        "reactivation_date": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HEARING EVALUATIONS",
            "identifier": "640G410840",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HEARING AID DISPENSI",
            "identifier": "540G410920",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "O'BRIEN",
            "middle_name": "LYNN",
            "credential": "M.A.,CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Audiologist in Marysville, MI
• Providers in Marysville, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.