Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aleta Xiaotan Prysock, AUD

Individual provider Audiologist · NPI 1154251122

Aleta Xiaotan Prysock, AUD is a Qualified Audiologist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026
What do these letters mean?
AUD — Doctor of Audiology
A hearing specialist who tests hearing and fits hearing aids.

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Practice location Address checks out

1425 Michigan St NE Ste A
Grand Rapids, MI 49503-2027
Phone: (616) 459-4514
Fax: (616) 459-5001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 1601001244 (MI)

Record details

NPI number1154251122
Entity typeIndividual (Type 1)
GenderFemale
Credentials AUD
Sole proprietorNo
NPI enumeratedMay 21, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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