Organization Active NPI

Hearing Solutions of Northwest Michigan, LLC

  • Audiologist
  • Traverse City, MI
National Provider Identifier
1578726519
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000288 Issued in MI
Legal business name
HEARING SOLUTIONS OF NORTHWEST MICHIGAN, LLC
Practice address
3241 Racquet Club Dr
Suite B
Traverse City, MI 49684-4708
Phone
(231) 922-1500
Fax
(231) 922-1502
NPI assigned
Jul 9, 2008
Last updated
Apr 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Tammy Cnossen
Title
Billing Manager
Phone
(231) 995-4902

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000245 MI
Audiologist 231H00000X 1601000288 MI Primary

Addresses

Primary practice location

3241 Racquet Club Dr
Suite B
Traverse City, MI 49684-4708

Mailing address

3241 Racquet Club Dr
Suite B
Traverse City, MI 49684
Phone (231) 922-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090407000389 MI Part B Supplier - Clinic/Group Practice 9537216650 Receives reassigned benefits from 3 practitioners
Practice locations: Traverse City, MI

National Provider Directory

National Provider Directory

Locations

3241 Racquet Club Dr
Ste B
Traverse City, MI 49684
Phone (231) 922-1500

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1578726519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 RACQUET CLUB DR",
            "address_2": "SUITE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-922-1500",
            "fax_number": "231-922-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3241 RACQUET CLUB DR",
            "address_2": "SUITE B",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844708",
            "telephone_number": "231-922-1500",
            "fax_number": "231-922-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING SOLUTIONS OF NORTHWEST MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "CNOSSEN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "231-995-4902"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000245",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.