Active NPI
Danielle Ann Northrup, AUD
- Audiologist
- Wyoming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000899
- Practice address
- 1555 44TH St SW
Wyoming, MI 49509-4313 - Phone
- (616) 249-8000
- NPI assigned
- Sep 1, 2020
- Last updated
- Sep 1, 2020
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000899 | MI | Primary |
Addresses
Primary practice location
1555 44TH St SW
Wyoming, MI 49509-4313
Mailing address
129 S Drake Rd
Kalamazoo, MI 49009-1107
Phone (269) 271-4180
Other practice location 1
1425 Michigan St NE Ste A
Grand Rapids, MI 49503-2027
Phone (616) 459-4514
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
655 Kenmoor Ave SE a
Grand Rapids ENT Center PLLC
Grand Rapids, MI 49546-8622
Phone (616) 575-1212
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601000899 | MI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Rapids Ear Nose & Throat Center PLLC | Current | Accepting new patients |
Locations
2373 64th St SW
Ste 2300
Byron Center, MI 49315
655 Kenmoor Ave SE
Ste A
Grand Rapids, MI 49546
Phone (616) 575-1212
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Grand Rapids, MI
- NPI 1124052337
-
dba Grand Rapids Ear Nose and Throat PC
- Otolaryngology Physician
- Wyoming, MI
- NPI 1063639870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1639783269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 S DRAKE RD",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490091107",
"telephone_number": "269-271-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 44TH ST SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495094313",
"telephone_number": "616-249-8000"
}
],
"practiceLocations": [
{
"address_1": "1425 Michigan St NE Ste A",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495032027",
"country_code": "US",
"telephone_number": "616-459-4514",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORTHRUP",
"first_name": "DANIELLE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.