Michelle Hanneman, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5038656 Issued in OH

Practice address

18286 Road R24
Fort Jennings, OH 45844-9544

Phone

(419) 453-2420

NPI assigned

Jan 13, 2014

Last updated

Jan 13, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1083036925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18286 ROAD R24",
            "city": "FORT JENNINGS",
            "state": "OH",
            "postal_code": "458449544",
            "telephone_number": "419-453-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18286 ROAD R24",
            "city": "FORT JENNINGS",
            "state": "OH",
            "postal_code": "458449544",
            "telephone_number": "419-453-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNEMAN",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "5038656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lyn Davis
• Brenda M. Dickman, AU.D
• Familycare Transit LLC
• Michelle Lee Heitmeyer, COTA/L 02954
• Vanessa Morgan Howbert
• Jennings Local School District
• Danielle Mangas, DC
• Loretta Lee McBeth

• Speech-Language Pathologist in Fort Jennings, OH
• Providers in Fort Jennings, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.