Individual provider Active NPI

Susan Zimmerman-Phillips, M.S. CCC-A

  • Audiologist
  • Ann Arbor, MI
National Provider Identifier
1992085286
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000593 Issued in MI
Practice address
1320 Brooklyn Ave
Ann Arbor, MI 48104-4415
Phone
(313) 715-3701
Fax
(734) 213-7044
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000593 MI Primary
Assistive Technology Practitioner Audiologist 231HA2400X 1601000593 MI
Assistive Technology Supplier Audiologist 231HA2500X 1601000593 MI
Audiologist-Hearing Aid Fitter 237600000X 1601000593 MI

Addresses

Primary practice location

1320 Brooklyn Ave
Ann Arbor, MI 48104-4415

Mailing address

1320 Brooklyn Ave
Ann Arbor, MI 48104-4415
Phone (313) 715-3701

Other identifiers 2

IdentifierTypeStateIssuer
01064854OtherMIAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCE
1601000593OtherMISTATE OF MICHIGAN DEPARTMENT OF LICENSING & REGULATORY AFFAIRS AUDIOLOGY BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Onsight, Inc. Past Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1992085286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 BROOKLYN AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044415",
            "telephone_number": "313-715-3701",
            "fax_number": "734-213-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BROOKLYN AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044415",
            "telephone_number": "313-715-3701",
            "fax_number": "734-213-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN-PHILLIPS",
        "first_name": "SUSAN",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000593",
            "primary": true
        },
        {
            "code": "231HA2400X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Practitioner",
            "state": "MI",
            "license": "1601000593",
            "primary": false
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "MI",
            "license": "1601000593",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "1601000593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCE",
            "identifier": "01064854",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN DEPARTMENT OF LICENSING & REGULATORY AFFAIRS AUDIOLOGY BOARD",
            "identifier": "1601000593",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.