MRS. PAMELA DENISE KEENAN (NPI# 1003847567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003847567 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA DENISE KEENAN |
| Credential | AUDIOLOGIST MA.,CCCA |
| Practice Address |
4444 Kalamazoo Ave Se Kentwood MI 49508-4600 |
| Mailing Address |
961 4 Mile Rd Nw Grand Rapids MI 49544-8252 |
| Practice Telephone | 6164559180 |
| Practice Fax Number | 6165740215 |
| Mailing Telephone | 6164559180 |
| Mailing Fax Number | 6165740215 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2016-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000146 | MI | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 804784633 | 05 |
| Street Address |
4444 KALAMAZOO AVE SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49508-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750385241 | Thomas Wesley Brink | Internal Medicine | 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 | 2005-06-13 |
| 1437601945 | Daniel De Young | Nurse Practitioner | 4444 Kalamazoo Ave Se, Suite 200, Kentwood, MI 49508-4600 | 2016-11-01 |
| 1295125375 | Sharon Schroeder Dass | Social Worker | 4444 Kalamazoo Ave Se, Suite 200, Kentwood, MI 49508-4600 | 2015-01-28 |
| 1447372750 | Michael T Stout | Internal Medicine | 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 | 2007-04-06 |
| 1134237167 | Dana L Leary | Specialist | 4444 Kalamazoo Ave Se, Suite 103, Kentwood, MI 49508-4600 | 2006-08-29 |
| 1487762407 | James R Jokerst | Specialist | 4444 Kalamazoo Ave Se, Suite 103, Kentwood, MI 49508-4600 | 2006-08-29 |
| 1174573471 | Pediatric Associates of Kentwood | Specialist | 4444 Kalamazoo Ave Se, Suite 103, Kentwood, MI 49508-4600 | 2006-05-10 |
| 1427038843 | Shawn Castillo | Audiologist | 4444 Kalamazoo Ave Se, Mcdonald Audiology and Hearing Health Care, Kentwood, MI 49508-4600 | 2006-01-20 |
| 1043215486 | Kevin Mccormick | Internal Medicine | 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 | 2005-06-14 |
| 1194729699 | James A. Geissler | Internal Medicine | 4444 Kalamazoo Ave Se, Kentwood, MI 49508-4600 | 2005-06-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427038843 | Shawn Castillo | Audiologist | 4444 Kalamazoo Ave Se, Mcdonald Audiology and Hearing Health Care, Kentwood, MI 49508-4600 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1770192510 | Haas Hearing Pllc | Audiologist | 423 Ludington Street, Escanaba, MI 49829 | 2020-07-28 |
| 1770100992 | Inman Audiology & Consulting LLC | Audiologist | 1651 W Big Beaver Rd, Troy, MI 48084-3501 | 2020-07-03 |
| 1154941748 | Ashley Bookmyer | Audiologist | 1445 Sheldon Rd Ste 303, Grand Haven, MI 49417-2479 | 2020-04-23 |
| 1073143210 | Megan Justine Gustavson | Audiologist | 6140 28th St Se Ste 205, Grand Rapids, MI 49546-6938 | 2020-01-15 |
| 1679121628 | Kati Lynn Stilwell | Audiologist | 901 W Sharon Ave Ste 9, Houghton, MI 49931-1964 | 2019-09-03 |
| 1063068500 | Marla Chaffee | Audiologist | 26850 Providence Pkwy Ste 165, Novi, MI 48374-1255 | 2019-08-12 |
| 1952962201 | Hannah Barclay Reeg | Audiologist | 511 Renaissance Dr Ste 100, Saint Joseph, MI 49085-2180 | 2019-06-27 |
| 1356906051 | Viet Han Huu Nguyen | Audiologist | 4175 N Euclid Ave Ste 10, Bay City, MI 48706-2483 | 2019-05-08 |
| 1922570381 | Superior Audiology, LLC | Audiologist | 333 Magazine St Ste 103, Sault Sainte Marie, MI 49783-1867 | 2018-12-26 |
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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.