MRS. CATHERINE M LISENBEE (NPI# 1114967809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114967809 |
| Entity Type | Individual |
| Full Name | MRS. CATHERINE M LISENBEE |
| Credential | M.A.,CCC-A |
| Practice Address |
751 Kenmoor Ave Se Suite B Grand Rapids MI 49546-2391 |
| Mailing Address |
P.o. Box 406153 Atlanta GA 30384-1876 |
| Practice Telephone | 6169541895 |
| Practice Fax Number | 6169542093 |
| Mailing Telephone | 6169541895 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2009-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 903336569 | 05 |
| Street Address |
751 KENMOOR AVE SE SUITE B |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-2391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120959 | Roseann Doney | Physical Therapy Assistant | 751 Kenmoor Ave Se, Suite H, Grand Rapids, MI 49546-2391 | 2005-08-02 |
| 1962062703 | Brightwave Pain Therapy, PC | Clinic/Center | 751 Kenmoor Ave Se, Grand Rapids, MI 49546-2388 | 2019-06-14 |
| 1437593589 | Internal Medicine and Pediatrics of West Michigan, LLC | Internal Medicine | 751 Kenmoor Ave Se, Grand Rapids, MI 49546-2388 | 2013-04-19 |
| 1356677835 | Ravikumar K Shukla | Physical Therapist | 751 Kenmoor Ave Se, Suite # E, Grand Rapids, MI 49546-2388 | 2009-10-19 |
| 1174684120 | Defoe James Edgerle | Dentist | 751 Kenmoor Ave Se, Suite G, Grand Rapids, MI 49546-2388 | 2006-12-13 |
| 1578534699 | Casey R Bartman | Orthopaedic Surgery | 751 Kenmoor Ave Se, Grand Rapids, MI 49546-2391 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 231HA2400X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| Specialization | Assistive Technology Practitioner |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629413653 | Regents of The University of Michigan | Audiologist | 8001 Challis Road, Brighton, MI 48116 | 2013-05-03 |
| 1013352046 | Regents of The University of Michigan | Audiologist | 4260 Plymouth Road, Rm B1-113, Ann Arbor, MI 48109 | 2013-05-03 |
| 1063765543 | Daniel Michael Lyons | Audiologist | 3010 Wilson Ave Sw, Grandville, MI 49418-1242 | 2012-10-20 |
| 1285902627 | St. John Hospital and Medical Center | Audiologist | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | 2011-12-13 |
| 1295950145 | K A Vandoorne & Associates Inc. | Audiologist | 391 Garden Ave, Holland, MI 49424-9602 | 2007-04-16 |
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on MRS. CATHERINE M LISENBEE.
| 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.