Active NPI
Lauren Alyse Prinz
- Hearing Instrument Specialist
- North Canton, OH
National Provider Identifier
1619484342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 11110
- Practice address
- 4234 Portage St NW
North Canton, OH 44720-7328 - Phone
- (330) 454-6141
- Fax
- (330) 454-9255
- NPI assigned
- Jan 3, 2018
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 11110 | OH | Primary |
Addresses
Primary practice location
4234 Portage St NW
North Canton, OH 44720-7328
Mailing address
4234 Portage St NW
North Canton, OH 44720-7328
Phone (330) 454-6141
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11110 | OH | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolverine Hearing Group, LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Hearing Aid Equipment
- Las Vegas, NV
- NPI 1336852250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514937600000",
"number": "1619484342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 PORTAGE ST NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447207328",
"telephone_number": "330-454-6141",
"fax_number": "330-454-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4234 PORTAGE ST NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447207328",
"telephone_number": "330-454-6141",
"fax_number": "330-454-9255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINZ",
"first_name": "LAUREN",
"middle_name": "ALYSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-03",
"last_updated": "2018-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "OH",
"license": "11110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.