Debra L Wall, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

1504 Harcrest Dr
Suite 3
Midland, MI 48640-4717

Phone

(989) 835-1219

Fax

(989) 835-7198

NPI assigned

Sep 12, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Audio-Aid RX

  • Hearing Aid Equipment
  • Midland, MI
  • NPI 1225283534
  NPD (past) Authorized official
• Partners in Change: Psychological & Community Services, PLC

  • Psychologist
  • Midland, MI
  • NPI 1093984817
  NPD (past)
• Stephen G. Chase, M.D., P.C.

  • Otolaryngology Physician
  • Mt Pleasant, MI
  • NPI 1609047935
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1750485371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 HARCREST DR",
            "address_2": "SUITE 3",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-835-1219",
            "fax_number": "989-835-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 HARCREST DR",
            "address_2": "SUITE 3",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404717",
            "telephone_number": "989-835-1219",
            "fax_number": "989-835-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALL",
        "first_name": "DEBRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "540E610370",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "904508130",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #09079)
• Hope Richelle Walker, LLBSW
• Jesse G Walker
• Karissa Walker
• Rena Walker
• Carol Seeburger Wallace, MA-LPC
• Stacey Wallace, OTRL
• Lauren Mariah Rose Walls
• Zoe Walters, PHARMD
• Karen Ann Walton Ebnit, CCC-SLP

• Audiologist in Midland, MI
• Providers in Midland, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.