Individual provider Active NPI

Deborah F Livingston, AU.D.

  • Audiologist
  • Jackson, MI
National Provider Identifier
1922380286
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000611 Issued in MI
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

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20120801000753 MI Practitioner - Qualified Audiologist 9830351949 Reassigns benefits to 3 organizations

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
Michigan Otolaryngology SurgeryGroup PAC ID 1759442627, 20 clinicians

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

LicenseStateTypeSpecialty
01238MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Otolaryngolgy Surgery CurrentSince Jan 6, 2025 Accepting new patients
Mobile Audiology Associates, P.C. Audiologist CurrentSince Jul 26, 2021 Accepting new patients
Wa Foote Memorial Hospital, Inc Audiologist CurrentSince Jun 25, 2012 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Jun 25, 2012 Accepting new patients
Henry Ford Pathology Current Accepting new patients
Michigan Otolaryngology Surgery CurrentSince Jan 6, 2025 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

  • Direct secure messaging: deborah.livingston.1@15595.direct.athenahealth.com
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.