Individual provider Active NPI

Linda Kay Wright, AUD

  • Audiologist-Hearing Aid Fitter
  • Dewitt, MI
National Provider Identifier
1932141983
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
3501003233 Issued in MI
Practice address
12775 Escanaba Dr
Suite 3
Dewitt, MI 48820-8615
Phone
(517) 669-8080
Fax
(517) 669-8070
NPI assigned
Jun 12, 2006
Last updated
Apr 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 3501003233 MI Primary

Addresses

Primary practice location

12775 Escanaba Dr
Suite 3
Dewitt, MI 48820-8615

Mailing address

12775 Escanaba Dr
Suite 3
Dewitt, MI 48820-8615
Phone (517) 669-8080

Other identifiers 8

IdentifierTypeStateIssuer
4678229MedicaidMI
562321248OtherMIPPOM - AUDIOLOGY
4658208MedicaidMI
54OA900140OtherMIBCBS HEARING AIDS
562321248OtherMITRICARE- AUDIOLOGY
4500028OtherMIPHP - AUDIOLOGY
64OA900130OtherMIBCBS - DIAG AUDIOLOGY
1007674OtherMIMCLAREN HEALT - AUDIOLOGY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100116000293 MI Practitioner - Qualified Audiologist 7719029545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Audiology, LLCGroup PAC ID 2466594296, 3 clinicians

Practice addresses (Care Compare)

12775 Escanaba Dr
Suite 3
Dewitt, MI 48820-8615
Phone (517) 669-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3501003233MIMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Audiology, LLC Audiologist-Hearing Aid Fitter CurrentSince Apr 14, 2003 Accepting new patients
Advanced Audiology, LLC Audiologist-Hearing Aid Fitter PastSince Apr 14, 2003 Accepting new patients

Locations

12775 Escanaba Dr
Ste 3
Dewitt, MI 48820
Phone (517) 669-8080

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1932141983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12775 ESCANABA DR",
            "address_2": "SUITE 3",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208615",
            "telephone_number": "517-669-8080",
            "fax_number": "517-669-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12775 ESCANABA DR",
            "address_2": "SUITE 3",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488208615",
            "telephone_number": "517-669-8080",
            "fax_number": "517-669-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LINDA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "3501003233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4678229",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM - AUDIOLOGY",
            "identifier": "562321248",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4658208",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HEARING AIDS",
            "identifier": "54OA900140",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE- AUDIOLOGY",
            "identifier": "562321248",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP - AUDIOLOGY",
            "identifier": "4500028",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - DIAG AUDIOLOGY",
            "identifier": "64OA900130",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALT - AUDIOLOGY",
            "identifier": "1007674",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewitt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.