Shoreline Hearing Center LLC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

Legal business name

SHORELINE HEARING CENTER LLC

Practice address

941 W Broadway Ave
Muskegon, MI 49441-3521

Phone

(231) 755-0552

Fax

(231) 755-0560

NPI assigned

Jan 26, 2012

Last updated

Jul 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Keessen, AUDNPI 1083786933

Title

Owner

Phone

(231) 755-0552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly S Keessen, AU.D

  • Audiologist
  • Muskegon, MI
  • NPI 1083786933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1538430236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 W BROADWAY AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494413521",
            "telephone_number": "231-755-0552",
            "fax_number": "231-755-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 W BROADWAY AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494413521",
            "telephone_number": "231-755-0552",
            "fax_number": "231-755-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE HEARING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "KEESSEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-755-0552",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoreline Counseling LLC
• Shoreline Dental Associates, P.C.
• Shoreline ENT PLC
• Shoreline Family Medicine PC
• Shoreline Gastroenterology PC
• Shoreline Neurosurgical Consulting, PLC
• Shoreline Ophthalmology, PLLC
• Shoreline Ophthalmology, PLLC (Shoreline Optical)
• Shoreline Ophthalmology, PLLC
• Shoreline Ophthalmology, PLLC

• Audiologist-Hearing Aid Fitter in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Audiologist-Hearing Aid Fitter in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.