Active NPI
Nancy A. Maranto, AU.D
- Audiologist
- West Bloomfield, MI
National Provider Identifier
1861568230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3501002079
- Practice address
- Henry Ford Health System
6777 West Maple Road
West Bloomfield, MI 48323 - Phone
- (248) 661-6455
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3501002079 | MI | Primary |
Addresses
Primary practice location
Henry Ford Health System
6777 West Maple Road
West Bloomfield, MI 48323
Mailing address
Henry Ford Health System
6777 West Maple Road
West Bloomfield, MI 48323
Phone (248) 661-6455
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 322413290 | Medicaid | MI | |
| NM002079 | Other | CHAMPUS-CHAMPUS | |
| NM002079 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 640H279690 | Other | BLUE CROSS-BLUE CROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3501002079 | MI | MD | Audiologist |
Interoperability endpoints
- nmaranto12977@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861568230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "6777 WEST MAPLE ROAD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48323",
"telephone_number": "248-661-6455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "6777 WEST MAPLE ROAD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "48323",
"telephone_number": "248-661-6455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARANTO",
"first_name": "NANCY",
"middle_name": "A.",
"credential": "AU.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "3501002079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "322413290",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "NM002079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "NM002079",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "640H279690",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.