Tina Marie Monahon, MA, CCC-SLP, CBIS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2247 Outback Dr
Hudsonville, MI 49426-7718

Phone

(616) 633-8262

NPI assigned

Oct 11, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1013467208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 OUTBACK DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494267718",
            "telephone_number": "616-633-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 OUTBACK DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494267718",
            "telephone_number": "616-633-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONAHON",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Lucia Miller
• Kimberly Bain Mitcham, D.O.
• Caitlin Mlynarek, D.O.
• Carly N Molenkamp
• Janette Molenkamp
• Carolyn Diane Moore, MA, CCC-SLP
• Ellen Moore, MD
• Amy Elizabeth Mulder, PA-C
• New Pathways Counseling, LLC.
• Sally D Ngo, PHARM.D

• Speech-Language Pathologist in Hudsonville, MI
• Providers in Hudsonville, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.