DR. SUSAN JANE HAVEMAN-KRUYF (NPI# 1740452200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740452200 |
| Entity Type | Individual |
| Full Name | DR. SUSAN JANE HAVEMAN-KRUYF |
| Credential | AUD |
| Practice Address |
655 Kenmoor Ave Se Ste A Grand Rapids MI 49546-8622 |
| Practice Telephone | 6165751213 |
| Practice Fax Number | 6164644799 |
| Mailing Telephone | 6165751213 |
| Mailing Fax Number | 6164644799 |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000306 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
655 KENMOOR AVE SE STE A |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467832055 | Amy Rogghe | Physician Assistant | 655 Kenmoor Ave Se Ste A, Grand Rapids, MI 49546-8622 | 2015-06-09 |
| 1043573116 | Cheryl Anita Henderson | Audiologist-Hearing Aid Fitter | 655 Kenmoor Ave Se Ste A, Grand Rapids, MI 49546-8622 | 2012-06-22 |
| 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 | 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 |
|---|---|---|---|---|
| 1073143210 | Megan Justine Gustavson | Audiologist | 6140 28th St Se Ste 205, Grand Rapids, MI 49546-6938 | 2020-01-15 |
| 1730439225 | William Allen Hodgson | Audiologist | 803 Ne 1st Ave, Grand Rapids, MN 55744-2751 | 2012-09-12 |
| 1457596090 | Mary Disselkoen | Audiologist | 1353 Van Auken St Se, Grand Rapids, MI 49508-2516 | 2008-12-11 |
| 1750535373 | Jack De Boer | Audiologist | 2036 Chesaning Dr Se, Grand Rapids, MI 49506-5309 | 2008-11-10 |
| 1023299088 | Sharon K. Hickox | Audiologist | 4055 Cascade Rd Se Ste 201, Grand Rapids, MI 49546-2149 | 2007-11-19 |
| 1932329729 | Theresa Marie Bosworth | Audiologist | 1425 Michigan Ne Suite A, Grand Rapids, MI 49503 | 2007-04-26 |
| 1164575833 | Edward Joseph Szumowski | Audiologist | 4232 29th St Se, Grand Rapids, MI 49512-1936 | 2007-01-18 |
| 1093878480 | Karen Ann Jacobs | Audiologist | 5344 Plainfield Ave Ne, Suite 4, Grand Rapids, MI 49525-1009 | 2006-12-18 |
| 1588697411 | Denise Ann Hove | Audiologist | 1542 Golf Course Rd Ste 204, Grand Rapids, MN 55744-3555 | 2006-07-07 |
| 1558848374 | Karson Glass | Audiologist | 6140 28th St Se, Grand Rapids, MI 49546-6938 | 2018-07-24 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on DR. SUSAN JANE HAVEMAN-KRUYF.
| 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.