Organization Active NPI

Devi Fongers

  • Social Worker
  • Grand Rapids, MI
National Provider Identifier
1053852103
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
DEVI FONGERS
Practice address
1220 Oakleigh Rd NW
Ste 2
Grand Rapids, MI 49504-2548
Phone
(616) 262-1462
NPI assigned
Mar 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Devi Lynn Fongers
Title
Owner/LMSW
Phone
(616) 262-1462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

1220 Oakleigh Rd NW
Ste 2
Grand Rapids, MI 49504-2548

Mailing address

1220 Oakleigh Rd NW
Ste 2
Grand Rapids, MI 49504-2548
Phone (616) 262-1462

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1053852103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 OAKLEIGH RD NW",
            "address_2": "STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042548",
            "telephone_number": "616-262-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 OAKLEIGH RD NW",
            "address_2": "STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042548",
            "telephone_number": "616-262-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVI FONGERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "FONGERS",
        "authorized_official_first_name": "DEVI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/LMSW",
        "authorized_official_telephone_number": "616-262-1462"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.