Active NPI
Monica Marini, BC-HIS,ACA
- Hearing Instrument Specialist
- Portage, MI
National Provider Identifier
1689694622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 3501002374
- Practice address
- 7017 S Westnedge Ave
Portage, MI 49002-4206 - Phone
- (269) 342-0810
- NPI assigned
- Jul 20, 2006
- 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 | 3501002374 | MI | Primary |
Addresses
Primary practice location
7017 S Westnedge Ave
Portage, MI 49002-4206
Mailing address
7017 S Westnedge Ave
Portage, MI 49002-4206
Phone (269) 342-0810
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689694622 | Medicaid | MI | |
| 640Z911880 | Other | MI | BCBS MICHIGAN |
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 |
|---|---|---|---|
| 3501002374 | MI | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1689694622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7017 S WESTNEDGE AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490024206",
"telephone_number": "269-342-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7017 S WESTNEDGE AVE",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490024206",
"telephone_number": "269-342-0810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINI",
"first_name": "MONICA",
"name_prefix": "Ms.",
"credential": "BC-HIS,ACA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "MI",
"license": "3501002374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1689694622",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MICHIGAN",
"identifier": "640Z911880",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.