Active NPI
Laurie Floren Bennett, AUD
- Audiologist-Hearing Aid Fitter
- Wyoming, MI
National Provider Identifier
1699894394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist-Hearing Aid Fitter
- License
- 1601000028
- Practice address
- 2660 44TH St SW Ste 400
Wyoming, MI 49519-6836 - Phone
- (616) 530-8100
- NPI assigned
- Mar 27, 2007
- Last updated
- Mar 25, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 1601000028 | MI | |
| Audiologist-Hearing Aid Fitter | 237600000X | 1601000028 | MI | Primary |
Addresses
Primary practice location
2660 44TH St SW Ste 400
Wyoming, MI 49519-6836
Mailing address
3535 Park St Ste 106
Norton Shores, MI 49444-3736
Phone (317) 374-5702
Other practice location 1
1350 W Centre Ave Ste 105
Portage, MI 49024-5302
Phone (269) 324-0301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OA31128 | Other | MI | AUDIOLOGY PIN |
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Medical Care PC | Past | Accepting new patients | |
| American Hearing Centers, LLC | Audiologist-Hearing Aid Fitter | Past | Accepting new patients |
| Southern Michigan ENT P C | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Sonus Sf0005
- Audiologist-Hearing Aid Fitter
- Allendale, MI
- NPI 1417279027
-
- Critical Care Medicine (Internal Medicine) Physician
- Battle Creek, MI
- NPI 1396135927
-
dba Brookside ENT & Hearing Services
- Otolaryngology Physician
- Battle Creek, MI
- NPI 1043428774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1699894394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 PARK ST STE 106",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494443736",
"telephone_number": "317-374-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 44TH ST SW STE 400",
"city": "WYOMING",
"state": "MI",
"postal_code": "495196836",
"telephone_number": "616-530-8100"
}
],
"practiceLocations": [
{
"address_1": "1350 W Centre Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "MI",
"postal_code": "490245302",
"country_code": "US",
"telephone_number": "269-324-0301",
"fax_number": "269-324-2733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNETT",
"first_name": "LAURIE",
"middle_name": "FLOREN",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000028",
"primary": false
},
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "MI",
"license": "1601000028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AUDIOLOGY PIN",
"identifier": "OA31128",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.