Active NPI
Kaylee Laitinen Davenport, AU.D.
- Audiologist
- Saginaw, MI
National Provider Identifier
1689022329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000740
- Practice address
- 1500 Weiss St
Saginaw, MI 48602-5251 - Phone
- (989) 427-2500
- NPI assigned
- Jun 2, 2016
- Last updated
- Mar 17, 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000740 | MI | Primary |
Addresses
Primary practice location
1500 Weiss St
Saginaw, MI 48602-5251
Mailing address
1500 Weiss St
Saginaw, MI 48602-5251
Phone (989) 427-2500
Other practice location 1
28300 Orchard Lake Rd
Ste 100
Farmington Hills, MI 48334-3704
Phone (734) 793-2973
Other practice location 2
28300 Orchard Lake Rd
Ste 100
Farmington Hills, MI 48334-3704
Phone (734) 793-2973
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 |
|---|---|---|---|
| 1601000740 | MI | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1689022329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 WEISS ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025251",
"telephone_number": "989-427-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 WEISS ST",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486025251",
"telephone_number": "989-427-2500"
}
],
"practiceLocations": [
{
"address_1": "28300 Orchard Lake Rd",
"address_2": "STE 100",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483343704",
"country_code": "US",
"telephone_number": "734-793-2973",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "28300 Orchard Lake Rd",
"address_2": "STE 100",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483343704",
"country_code": "US",
"telephone_number": "734-793-2973",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVENPORT",
"first_name": "KAYLEE",
"middle_name": "LAITINEN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.