Advanced Audiology Services, LLC

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1601000490 Issued in MI

Legal business name

ADVANCED AUDIOLOGY SERVICES, LLC

Practice address

3158 Gratiot Blvd
Marysville, MI 48040-1488

Phone

(810) 388-9400

Fax

(810) 388-9434

NPI assigned

Mar 19, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Danielle Bont, MA CCC-ANPI 1417103730

Title

Audiologist / Owner

Phone

(810) 388-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Danielle Bont, M.A,

  • Audiologist
  • Chesterfield, MI
  • NPI 1417103730
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1710201769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3158 GRATIOT BLVD",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401488",
            "telephone_number": "810-388-9400",
            "fax_number": "810-388-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3158 GRATIOT BLVD",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401488",
            "telephone_number": "810-388-9400",
            "fax_number": "810-388-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED AUDIOLOGY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "BONT",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "AUDIOLOGIST / OWNER",
        "authorized_official_telephone_number": "810-388-9400",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA CCC-A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BCBS",
            "identifier": "0E01107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khayyriyyah JM Abdalhakiim
• Maya Abdullah
• Megan Achatz
• Melissa Agostino
• Emily Akm
• Thomas Alcido
• Arish Ali
• Khalil Ali

• Audiologist-Hearing Aid Fitter in Marysville, MI
• Providers in Marysville, MI by specialty
• Audiologist-Hearing Aid Fitter in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.