Individual provider Active NPI

Lisa Marie Parker, AUD

  • Audiologist
  • Southfield, MI
National Provider Identifier
1821406455
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000682 Issued in MI
Practice address
26211 Central Park Blvd Ste 375
Southfield, MI 48076-4157
Phone
(833) 354-1492
NPI assigned
Jul 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000682 MI Primary

Addresses

Primary practice location

26211 Central Park Blvd Ste 375
Southfield, MI 48076-4157

Mailing address

25363 Kensington St
Taylor, MI 48180-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140819002711 MI Practitioner - Qualified Audiologist 7517185317 Reassigns benefits to 4 organizations
I20260528002646 IN Practitioner - Qualified Audiologist 7517185317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onsight IncGroup PAC ID 6507938800, 27 clinicians

Practice addresses (Care Compare)

601 Abbot Rd
East Lansing, MI 48823-3366
Phone 24852821166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Ear Nose and Throat PC CurrentSince Aug 1, 2014 Accepting new patients
Onsight, Inc. Current Accepting new patients
Sparrow Ionia Hospital CurrentSince Jan 1, 2025 Accepting new patients
Metropolitan Hospital CurrentSince Dec 1, 2022 Accepting new patients
Sparrow Ionia Hospital CurrentSince Jan 1, 2025 Accepting new patients
Onsight, Inc. CurrentSince May 7, 2025 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Onsight, Inc. CurrentSince May 7, 2025 Accepting new patients
Metropolitan Hospital Past Accepting new patients
Metropolitan Hospital Past Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Past Accepting new patients
Mid Michigan Ear Nose & Throat, P.C. Audiologist PastSince Aug 1, 2014 Accepting new patients
Metropolitan Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

601 Abbott Rd
East Lansing, MI 48823
Phone 24852821166

1500 Abbott Rd
Ste 400
East Lansing, MI 48823
Phone (517) 324-4911

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Interoperability endpoints

  • Direct secure messaging: lisatheodorovich@mmentpc.allscriptsdirect.net

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1821406455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25363 KENSINGTON ST",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481803223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD STE 375",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764157",
            "telephone_number": "833-354-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "AUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.