Portage Audiology Consultants, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PORTAGE AUDIOLOGY CONSULTANTS, LLC

Practice address

3850 Glenkerry CT
Portage, MI 49024-0700

Phone

(269) 720-7639

NPI assigned

Oct 2, 2021

Organization subpart

No

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

Authorized official

Name

Lynette Burkett, AUDNPI 1922295732

Title

Owner/Audiologist

Phone

(269) 720-7639

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynette Marie Burkett, AUD

  • Audiologist
  • Portage, MI
  • NPI 1922295732
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1633132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1609548106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 GLENKERRY CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490240700",
            "telephone_number": "269-720-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 GLENKERRY CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490240700",
            "telephone_number": "269-720-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE AUDIOLOGY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-02",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "BURKETT",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER/AUDIOLOGIST",
        "authorized_official_telephone_number": "269-720-7639",
        "authorized_official_credential": "AUD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa M Plair, LPC, LLMFT
• Plastic Surgery of Kalamazoo,PC
• Erica Pollaccia, DMD
• Hannah Polomcak
• Regan Poppert
• Portage Chiropractic and Wellness Center
• Portage Counseling and Coaching
• Portage Family Dentistry PLLC
• Portage Family Healing LLC
• Portage Family Vision Care, PC

• Clinic/Center in Portage, MI
• Providers in Portage, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.