Active NPI
Mariah Lee Grange, AU.D.
- Audiologist
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601001091
- Practice address
- 1200 E Michigan Ave Ste 330
Lansing, MI 48912-1894 - Phone
- (517) 364-5678
- NPI assigned
- Dec 28, 2022
- 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 | 1601001091 | MI | Primary |
Addresses
Primary practice location
1200 E Michigan Ave Ste 330
Lansing, MI 48912-1894
Mailing address
1200 E Michigan Ave Ste 330
Lansing, MI 48912-1894
Phone (517) 364-5678
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, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 E Michigan Ave
Suite 330
Lansing, MI 48912-1894
Phone (517) 364-5678
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601001091 | MI | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearing Health Center Inc PC | Audiologist | Current | Accepting new patients |
Locations
1701 Lake Lansing Rd
Ste 100
Lansing, MI 48912
Phone (517) 485-9676
1200 E Michigan Ave
Ste 330
Lansing, MI 48912
Phone (517) 364-5678
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
1079 S US Highway 27
Saint Johns, MI 48879
Phone (989) 224-1575
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.
-
- Audiologist
- Lansing, MI
- NPI 1891708947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674086400000",
"number": "1649983271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E MICHIGAN AVE STE 330",
"city": "LANSING",
"state": "MI",
"postal_code": "489121894",
"telephone_number": "517-364-5678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 E MICHIGAN AVE STE 330",
"city": "LANSING",
"state": "MI",
"postal_code": "489121894",
"telephone_number": "517-364-5678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANGE",
"first_name": "MARIAH",
"middle_name": "LEE",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-28",
"last_updated": "2023-01-19",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601001091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.