KAILEY NICOLE JO (NPI# 1912517244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912517244 |
| Entity Type | Individual |
| Full Name | KAILEY NICOLE JO |
| Credential | MA, CCC-SLP |
| Practice Address |
710 Kenmoor Ave Se Ste 110 Grand Rapids MI 49546-2379 |
| Mailing Address |
5940 Mill Point Ct Se Grand Rapids MI 49512-9363 |
| Practice Telephone | 6165912905 |
| Practice Fax Number | 6163332321 |
| Mailing Telephone | 6163073512 |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7101006090 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
710 KENMOOR AVE SE STE 110 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-2379 |
| 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 | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1033740543 | Lauramarie Andres Schubert | Speech-Language Pathologist | 35 Michign St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2020-02-03 |
| 1245873884 | Jonathan Tyler Ritchie | Speech-Language Pathologist | 1912 Concord Ave Se, Grand Rapids, MI 49506-4653 | 2019-10-27 |
| 1386295392 | Emily Ruth Otten | Speech-Language Pathologist | 1425 Bemis St Se, Grand Rapids, MI 49506-2752 | 2019-09-23 |
| 1336797786 | Sydney E Carlson | Speech-Language Pathologist | 421 Benson Ave Ne Apt 2109, Grand Rapids, MI 49503-0026 | 2019-08-29 |
| 1285289413 | Chelsea Lauryn Noorman | Speech-Language Pathologist | 155 Indiana Ave Nw, Grand Rapids, MI 49504-5664 | 2019-08-05 |
| 1811556343 | Nicole L Nicolas | Speech-Language Pathologist | 2019 Wealthy St Se Apt 2, Grand Rapids, MI 49506-3011 | 2019-06-09 |
| 1922560911 | Amy Morgan Linde | Speech-Language Pathologist | 270 Henry Ave Se, Grand Rapids, MI 49503-4711 | 2019-04-01 |
| 1720546963 | Anita Marie O'connor-morgan | Speech-Language Pathologist | 3643 Dawes Ave Se, Grand Rapids, MI 49508-5510 | 2019-03-06 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on KAILEY NICOLE JO.
| 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.