Individual provider Active NPI

Angela Jo McNabb, MS CCC-A

  • Audiologist
  • Clinton Township, MI
National Provider Identifier
1912164328
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000256 Issued in MI
Practice address
40680 Garfield Rd Ste 1B
Clinton Township, MI 48038-4016
Phone
(586) 333-5405
Fax
(586) 421-4316
NPI assigned
May 22, 2008
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000256 MI Primary
Audiologist-Hearing Aid Fitter 237600000X 1601000256 MI

Addresses

Primary practice location

40680 Garfield Rd Ste 1B
Clinton Township, MI 48038-4016

Mailing address

40680 Garfield Rd Ste 1B
Clinton Township, MI 48038-4016
Phone (586) 333-5405

Other names 1

  • Angela Jo Lederman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090127000525 MI Practitioner - Qualified Audiologist 7618031253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Wayne State University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40680 Garfield Rd
Suite 1B
Clinton Township, MI 48038-4016
Phone (586) 333-5405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1601000256MIMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hear Now Audiology & Tinnitus Services LLC Audiologist CurrentSince Apr 18, 2018 Accepting new patients
Arthur Rosner MD PLLC PastSince May 23, 2008 Accepting new patients

Locations

40680 Garfield Rd
Ste 1B
Clinton Township, MI 48038
Phone (586) 333-5405

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1912164328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40680 GARFIELD RD STE 1B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384016",
            "telephone_number": "586-333-5405",
            "fax_number": "586-421-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40680 GARFIELD RD STE 1B",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384016",
            "telephone_number": "586-333-5405",
            "fax_number": "586-421-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNABB",
        "first_name": "ANGELA",
        "middle_name": "JO",
        "credential": "MS CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000256",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "LEDERMAN",
            "middle_name": "JO",
            "credential": "MS CCC-A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.