Active NPI
Grace Lee, AUD
- Audiologist
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000702
- Practice address
- 577 Michigan Ave
Suite 101
Holland, MI 49423-4911 - Phone
- (616) 393-2190
- NPI assigned
- Jul 1, 2015
- 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 | 231H00000X | 1601000702 | MI | Primary |
Addresses
Primary practice location
577 Michigan Ave
Suite 101
Holland, MI 49423-4911
Mailing address
2974 Chicago Dr SW
Grandville, MI 49418-1193
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
577 Michigan Ave
Suite 101
Holland, MI 49423-4911
Phone (616) 393-2190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Current | Accepting new patients | |
| Holland Community Hospital | Audiologist | Past | Accepting new patients |
Locations
415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208
15100 Whittaker Way
Grand Haven, MI 49417
Phone (616) 935-6200
577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190
175 S Waverly Rd
Holland, MI 49423
Phone (616) 355-3896
3235 N Wellness Dr
Holland, MI 49424
Phone (616) 399-9522
Interoperability endpoints
- grace.lee@holland.eclinicaldirectplus.com
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Holland, MI
- NPI 1780888099
-
- Neurology Physician
- Holland, MI
- NPI 1508095530
-
- Family Medicine Physician
- Hudsonville, MI
- NPI 1952130585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1508249129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2974 CHICAGO DR SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494181193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "577 MICHIGAN AVE",
"address_2": "SUITE 101",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494234911",
"telephone_number": "616-393-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "GRACE",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.