Individual provider Active NPI

Julie Ann Davis, MA CCC-A

  • Audiologist
  • Lapeer, MI
National Provider Identifier
1972531770
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000059 Issued in MI
Practice address
286 W Nepessing St
Lapeer, MI 48446-2194
Phone
(810) 664-1141
Fax
(810) 664-1523
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000059 MI Primary

Addresses

Primary practice location

286 W Nepessing St
Lapeer, MI 48446-2194

Mailing address

PO Box 406153
Atlanta, GA 30384-1876
Phone (810) 664-1141

Other identifiers 1

IdentifierTypeStateIssuer
1972531770MedicaidMI

Other names 1

  • Miss Julie Ann Morris Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000951 MI Practitioner - Qualified Audiologist 5294749511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Martin Ulrich D O P CGroup PAC ID 1153382908, 2 clinicians

Practice addresses (Care Compare)

9463 Holly Rd
Suite 100
Grand Blanc, MI 48439-2557
Phone (810) 695-3766

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J Martin Ulrich DO PC CurrentSince Jan 25, 2020 Accepting new patients
Steven C Reschak DO PC PastSince Jan 25, 2020 Accepting new patients
Audiology Distribution, LLC PastSince Nov 15, 2020 Accepting new patients
Hearusa Inc Past Accepting new patients
North Oakland Ear Nose &Throat Centers PC PastSince Aug 1, 2004 Accepting new patients

Locations

9463 Holly Rd
Ste 100
Grand Blanc, MI 48439
Phone (810) 659-3766

Organizations & group practices 5

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231891200000",
    "number": "1972531770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406153",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303841876",
            "telephone_number": "810-664-1141",
            "fax_number": "810-664-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 W NEPESSING ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462194",
            "telephone_number": "810-664-1141",
            "fax_number": "810-664-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2009-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972531770",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MORRIS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.