Active NPI
Grosse Pointe Audiology, LLC
- Audiologist
- Grosse Pointe Woods, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- GROSSE POINTE AUDIOLOGY, LLC
- Practice address
- 20239 Mack Avenue
Grosse Pointe Audiology
Grosse Pointe Woods, MI 48236-1769 - Phone
- (313) 343-5555
- Fax
- (313) 343-5304
- NPI assigned
- Apr 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ginette Alicia Lezotte, AU.D., CCC-A
- Title
- Audiologist/Owner
- Phone
- (313) 343-5555
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | Primary | ||
| Hearing Aid Equipment | 332S00000X |
Addresses
Primary practice location
20239 Mack Avenue
Grosse Pointe Audiology
Grosse Pointe Woods, MI 48236-1769
Mailing address
20239 Mack Avenue
Grosse Pointe Audiology
Grosse Pointe Woods, MI 48236-1769
Phone (313) 343-5555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 804683505 | Medicaid | MI | |
| 904396202 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
20239 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 343-5555
19794 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 343-5555
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Grosse Pointe Woods, MI
- NPI 1124063615
-
- Audiologist
- Novi, MI
- NPI 1972850188
-
- Audiologist-Hearing Aid Fitter
- Grosse Pointe Woods, MI
- NPI 1225644529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303689600000",
"number": "1902928864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20239 MACK AVENUE",
"address_2": "GROSSE POINTE AUDIOLOGY",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361769",
"telephone_number": "313-343-5555",
"fax_number": "313-343-5304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20239 MACK AVENUE",
"address_2": "GROSSE POINTE AUDIOLOGY",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361769",
"telephone_number": "313-343-5555",
"fax_number": "313-343-5304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GROSSE POINTE AUDIOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2011-04-25",
"status": "A",
"authorized_official_last_name": "LEZOTTE",
"authorized_official_first_name": "GINETTE",
"authorized_official_middle_name": "ALICIA",
"authorized_official_title_or_position": "AUDIOLOGIST/OWNER",
"authorized_official_telephone_number": "313-343-5555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "AU.D., CCC-A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "804683505",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "904396202",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.