Active NPI
Susan Zimmerman-Phillips, M.S. CCC-A
- Audiologist
- Ann Arbor, MI
National Provider Identifier
1992085286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 1601000593
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01064854 | Other | MI | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION CERTIFICATE OF CLINICAL COMPETENCE |
| 1601000593 | Other | MI | STATE 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
| Organization | Specialty | Status | New 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.
-
- Podiatrist
- East Lansing, MI
- NPI 1821248568
-
- Podiatrist
- Charleston, WV
- NPI 1386183473
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.