Stacey Rochelle Lim, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000660 Issued in MI

Practice address

1101 Health Professions BLDG
Mt Pleasant, MI 48859-0001

Phone

(989) 774-3904

Fax

(989) 774-1891

NPI assigned

Jul 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Michigan UniversityGroup PAC ID 3577558907, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Michigan University

  • Family Medicine Physician
  • Mt Pleasant, MI
  • NPI 1487686754

  MI

  Medicare reassignment Care Compare group NPD
• Central Michigan University

  • Sports Medicine (Family Medicine) Physician
  • Mt Pleasant, MI
  • NPI 1447606801
  NPD
• Central Michigan University

  • Audiologist
  • Mt Pleasant, MI
  • NPI 1619062817
  NPD

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1700084142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HEALTH PROFESSIONS BLDG",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-3904",
            "fax_number": "989-774-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HEALTH PROFESSIONS BLDG",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-3904",
            "fax_number": "989-774-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "STACEY",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-06",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700084142",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1601000660",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "170008414",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael Liberati, PT, DPT
• Steven Adam Lifson, PHD
• Gabrielle Likavec
• Charles J Lilly, M.D.
• Ryan Joseph Lilly, M.D.
• Jennifer Lynn Lindow, PTA,PM
• Jason Lindsey
• Elizabeth D Ling
• Courtney Ballinger Little, MA, LPC, CAADC
• Live Well Chiropractic & Rehab

• Audiologist in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.