Adrienne Johnson, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000630 Issued in MI

Practice address

30080 23 Mile Rd
Chesterfield, MI 48047-5718

Phone

(586) 725-5380

Fax

(586) 229-2495

NPI assigned

Jan 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Otolaryngology SurgeryGroup PAC ID 1759442627, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adrienne.johnson.1@15595.direct.athenahealth.com

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.

• Michigan Otolaryngology Surgery

  • Otolaryngology Physician
  • Ypsilanti, MI
  • NPI 1407987688
  Medicare reassignment Care Compare group NPD
• Ear Nose and Throat Consultants PC

  • Specialist
  • Southfield, MI
  • NPI 1053484048
  Medicare reassignment NPD
• Michigan Otolaryngolgy Surgery

  • Audiologist-Hearing Aid Fitter
  • Ypsilanti, MI
  • NPI 1760572978
  NPD

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1649692138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30080 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475718",
            "telephone_number": "586-725-5380",
            "fax_number": "586-229-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30080 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480475718",
            "telephone_number": "586-725-5380",
            "fax_number": "586-229-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ADRIENNE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Jiles
• Makenzie Johns, BCBA
• Alexandria Johnson-Harris
• Alexus Johnson-Shahan
• Addison Johnson
• Aieshah Johnson
• Alasia Johnson
• Cichon Johnson
• Classie Johnson
• Danai Johnson

• Audiologist in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.

Verify at the official NPI Registry.