MR. IVORY FULLER SR. (NPI# 1326465048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326465048 |
| Entity Type | Individual |
| Full Name | MR. IVORY FULLER SR. |
| Practice Address |
29100 Lorikay St Farmington Hills MI 48334-2842 |
| Practice Telephone | 3137720027 |
| Mailing Telephone | 3137720027 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 3501002891 | MI | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 3501002891 | Speech, Language and Hearing Service Providers | |
| Y | 237700000X | Hearing Instrument Specialist | 3501002891 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
29100 LORIKAY ST |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154608750 | Amy Letizio | Hearing Instrument Specialist | 25882 Orchard Lake Rd. #103, Farmington Hills, MI 48336 | 2011-11-10 |
| 1669925152 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 32401 Northwestern Hwy, Farmington Hills, MI 48334-1445 | 2016-08-01 |
| 1760805014 | Hillary Wright | Hearing Instrument Specialist | 28300 Orchard Lake Rd, Suite 102, Farmington Hills, MI 48334-3704 | 2014-01-22 |
| 1598002297 | Kim Milner | Hearing Instrument Specialist | 25882 Orchard Lake Rd., Suite 103, Farmington Hills, MI 48336 | 2013-01-15 |
| 1336419035 | Joshua M Cruz | Hearing Instrument Specialist | 25882 Orchard Lake Rd, Farmington Hills, MI 48336-1292 | 2012-01-11 |
| 1427328640 | Felix Cruz | Hearing Instrument Specialist | 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 | 2012-01-04 |
| 1205977824 | Cruz Hearing Aid Service, Inc | Hearing Instrument Specialist | 25882 Orchard Lake Rd., Suite 103, Farmington Hills, MI 48336 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251641 | Erika L Bunkley | Hearing Instrument Specialist | 18451 W 12 Mile Rd Ste 201, Lathrup Village, MI 48076-2635 | 2020-10-01 |
| 1194346486 | Katherine A Mieczkowski | Hearing Instrument Specialist | 235 S. Center #7, Burten, MI 48509 | 2020-04-28 |
| 1790312965 | Brook Mantei | Hearing Instrument Specialist | 4480 Bay Rd Ste 3, Saginaw, MI 48603-5220 | 2020-03-26 |
| 1104453018 | Donald Murphy | Hearing Instrument Specialist | 4165 24th Ave Ste C, Fort Gratiot, MI 48059-3854 | 2020-03-23 |
| 1841826898 | Greg J Weidman | Hearing Instrument Specialist | 596 N Port Crescent St, Bad Axe, MI 48413-1209 | 2020-03-20 |
| 1841826047 | Justin Michael Hess | Hearing Instrument Specialist | 6841 Eastman Ave, Midland, MI 48642-7897 | 2020-03-19 |
| 1356976732 | Jeralyn Patrice Garvey | Hearing Instrument Specialist | 7200 W Saginaw Hwy Ste 3, Lansing, MI 48917-1133 | 2020-03-06 |
| 1609411339 | John Duane Frantz | Hearing Instrument Specialist | 5475 Beckley Rd Ste 150, Battle Creek, MI 49015-4277 | 2019-11-18 |
| 1417592551 | Jane Ellen White | Hearing Instrument Specialist | 4635 14 Mile Rd Ne Ste A, Rockford, MI 49341-7310 | 2019-11-13 |
| 1497399166 | Lauren Ashley Reynolds | Hearing Instrument Specialist | 38 44th St Sw, Grandville, MI 49418-2177 | 2019-11-05 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.