Individual provider Active NPI

Laurie Floren Bennett, AUD

  • Audiologist-Hearing Aid Fitter
  • Wyoming, MI
National Provider Identifier
1699894394
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
1601000028 Issued in MI
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OA31128OtherMIAUDIOLOGY 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

OrganizationSpecialtyStatusNew patients
Comprehensive Medical Care PC PastSince Dec 20, 2014 Accepting new patients
American Hearing Centers, LLC Audiologist-Hearing Aid Fitter PastSince Mar 29, 2020 Accepting new patients
Southern Michigan ENT P C PastSince Feb 10, 1999 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.

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.

Verify at the official NPI Registry.