Individual provider Active NPI

Rachel Lynn Prim, AUD

  • Audiologist-Hearing Aid Fitter
  • Flint, MI
National Provider Identifier
1689974800
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1601000546 Issued in MI
Practice address
4325 Miller Rd
Flint, MI 48507-1216
Phone
(810) 230-9180
Fax
(810) 230-7841
NPI assigned
Oct 22, 2010
Last updated
Oct 22, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 1601000546 MI Primary

Addresses

Primary practice location

4325 Miller Rd
Flint, MI 48507-1216

Mailing address

4325 Miller Rd
Flint, MI 48507-1216
Phone (810) 230-9180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110902000454 MI Practitioner - Qualified Audiologist 5991975740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1689974800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071216",
            "telephone_number": "810-230-9180",
            "fax_number": "810-230-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071216",
            "telephone_number": "810-230-9180",
            "fax_number": "810-230-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIM",
        "first_name": "RACHEL",
        "middle_name": "LYNN",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.