Active NPI
Rosalind Leiser, M.A. CCC-A
- Audiologist
- Waterford, MI
National Provider Identifier
1609982800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- RL000044
- Practice address
- 4202 Pontiac LK Rd
Waterford, MI 48328-1259 - Phone
- (248) 673-8000
- Fax
- (248) 673-0346
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | RL000044 | MI | Primary |
| Audiologist-Hearing Aid Fitter | 237600000X | RL000044 | MI | |
| Hearing Instrument Specialist | 237700000X | RL000044 | MI |
Addresses
Primary practice location
4202 Pontiac LK Rd
Waterford, MI 48328-1259
Mailing address
4202 Pontiac Lake Rd
Waterford, MI 48328-1259
Phone (248) 673-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3119290 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RL000044 | MI | MD | Audiologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Audiologist-Hearing Aid Fitter
- Novi, MI
- NPI 1073768370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1609982800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4202 PONTIAC LAKE RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483281259",
"telephone_number": "248-673-8000",
"fax_number": "248-673-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4202 PONTIAC LK RD",
"city": "WATERFORD",
"state": "MI",
"postal_code": "483281259",
"telephone_number": "248-673-8000",
"fax_number": "248-673-0346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEISER",
"first_name": "ROSALIND",
"credential": "M.A. CCC-A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "RL000044",
"primary": true
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "RL000044",
"primary": false
},
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MI",
"license": "RL000044",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3119290",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.