Active NPI
Deborah F Livingston, AU.D.
- Audiologist
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000611
- Practice address
- 1111 Teneyck St
Ste 200
Jackson, MI 49201-2461 - Phone
- (517) 787-1468
- Fax
- (517) 787-0613
- NPI assigned
- Sep 13, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 01238 | MD | |
| Audiologist | 231H00000X | 1601000611 | MI | Primary |
Addresses
Primary practice location
1111 Teneyck St
Ste 200
Jackson, MI 49201-2461
Mailing address
PO Box 67000
Department 272801
Detroit, MI 48267-2728
Phone (517) 787-1468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5333 McAuley Dr
RM 2017
Ypsilanti, MI 48197-1096
Phone (734) 434-3200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01238 | MD | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Otolaryngolgy Surgery | Current | Accepting new patients | |
| Mobile Audiology Associates, P.C. | Audiologist | Current | Accepting new patients |
| Wa Foote Memorial Hospital, Inc | Audiologist | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Henry Ford Pathology | Current | Accepting new patients | |
| Michigan Otolaryngology Surgery | Current | Accepting new patients |
Locations
100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486
1111 Teneyck St
Ste 100
Jackson, MI 49201
Phone (517) 205-8940
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
1111 Teneyck St
Ste 200
Jackson, MI 49201
Phone (517) 205-1468
5333 McAuley Dr
Rm 2017
Ypsilanti, MI 48197
Phone (734) 434-3200
Interoperability endpoints
- deborah.livingston.1@15595.direct.athenahealth.com
- dlivingston454208@direct.hfhs.org
Organizations & group practices 6
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.
-
- Otolaryngology Physician
- Ypsilanti, MI
- NPI 1407987688
-
- Audiologist
- Jackson, MI
- NPI 1811921968
-
- Anatomic Pathology & Clinical Pathology Physician
- Detroit, MI
- NPI 1851410005
-
- Audiologist-Hearing Aid Fitter
- Ypsilanti, MI
- NPI 1760572978
-
- Physician Assistant
- Jackson, MI
- NPI 1538606348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1922380286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67000",
"address_2": "DEPARTMENT 272801",
"city": "DETROIT",
"state": "MI",
"postal_code": "482672728",
"telephone_number": "517-787-1468",
"fax_number": "517-787-0613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 TENEYCK ST",
"address_2": "STE 200",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012461",
"telephone_number": "517-787-1468",
"fax_number": "517-787-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIVINGSTON",
"first_name": "DEBORAH",
"middle_name": "F",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-13",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MD",
"license": "01238",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MI",
"license": "1601000611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.