Individual provider Active NPI

Ayette Dourra, AUD.

  • Audiologist
  • Bloomfield Hills, MI
National Provider Identifier
1902642952
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601001156 Issued in MI
Practice address
2759 Mackintosh LN
Bloomfield Hills, MI 48302-0934
Phone
(810) 295-7351
NPI assigned
Jul 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601001156 MI Primary

Addresses

Primary practice location

2759 Mackintosh LN
Bloomfield Hills, MI 48302-0934

Mailing address

2759 Mackintosh LN
Bloomfield Hills, MI 48302-0934
Phone (810) 295-7351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904004669 MI Practitioner - Qualified Audiologist 9436699410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Wayne State University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMS Audiology LLCGroup PAC ID 7416201215, 2 clinicians

Practice addresses (Care Compare)

Bingham Farms, MI 48025
Phone (888) 628-5535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Purepoint Pharmacy LLC Current Accepting new patients
MMS Audiology LLC Audiologist CurrentSince Jun 29, 2024 Accepting new patients

Locations

11007 Radcliff Dr
Allendale, MI 49401
Phone (616) 895-6688

30150 Telegraph Rd
Ste 371
Bingham Farms, MI 48025
Phone (734) 493-1662

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1902642952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 MACKINTOSH LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020934",
            "telephone_number": "810-295-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 MACKINTOSH LN",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020934",
            "telephone_number": "810-295-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOURRA",
        "first_name": "AYETTE",
        "credential": "AUD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601001156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.