Individual provider Active NPI

Emme Cnossen, CCC-SLP

  • Speech-Language Pathologist
  • Grand Rapids, MI
National Provider Identifier
1053865543
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3361 36TH St SE
Grand Rapids, MI 49512
Phone
(616) 942-2522
NPI assigned
Aug 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

3361 36TH St SE
Grand Rapids, MI 49512

Mailing address

12 S Fremont St NE
Rockford, MI 49341-1210
Phone (989) 890-1450

Other practice location 1

9809 Cherry Valley Ave SE Ste D
Caledonia, MI 49316-9592
Phone (616) 536-2211

Other practice location 2

260 E Chase Ave Ste 204
El Cajon, CA 92020-6300
Phone (619) 647-6157

Other practice location 3

3712 N Broadway St
250
Chicago, IL 60613-4235
Phone (312) 458-9865 ext. 89865

Other practice location 4

260 E Chase Ave Ste 204
El Cajon, CA 92020-6300
Phone (619) 647-6157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Network Behavioral Health Services PastSince Nov 3, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1053865543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S FREMONT ST NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411210",
            "telephone_number": "989-890-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3361 36TH ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49512",
            "telephone_number": "616-942-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9809 Cherry Valley Ave SE Ste D",
            "address_purpose": "LOCATION",
            "city": "Caledonia",
            "state": "MI",
            "postal_code": "493169592",
            "country_code": "US",
            "telephone_number": "616-536-2211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 E Chase Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920206300",
            "country_code": "US",
            "telephone_number": "619-647-6157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3712 N Broadway St",
            "address_2": "250",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606134235",
            "country_code": "US",
            "telephone_number": "312-458-9865 x89865",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 E Chase Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920206300",
            "country_code": "US",
            "telephone_number": "619-647-6157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CNOSSEN",
        "first_name": "EMME",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "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 Sep 22, 2022; 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.