Anna Visser

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2880 Wilson Ave SW
Grandville, MI 49418-1221

Phone

(616) 300-5495

NPI assigned

Feb 9, 2021

Reactivated

Oct 14, 2022

Last updated

Nov 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Exemplary Speech Services

  • Speech-Language Pathologist
  • Grandville, MI
  • NPI 1962144782
  NPD
• Hand in Hand Comprehensive Therapy Specialists Inc

  • Occupational Therapist
  • Fort Wayne, IN
  • NPI 1942465679

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1083206270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181221",
            "telephone_number": "616-300-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 WILSON AVE SW",
            "city": "GRANDVILLE",
            "state": "MI",
            "postal_code": "494181221",
            "telephone_number": "616-300-5495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 Saint Joe Center Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468255042",
            "country_code": "US",
            "telephone_number": "260-497-0328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "710 Kenmoor Ave SE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462379",
            "country_code": "US",
            "telephone_number": "616-591-2905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISSER",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "deactivation_date": "2022-06-06",
        "reactivation_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makenzy Veldhuizen, DPT
• Jettie Velthouse
• Lauren Verschueren, PA-C
• Molly Michelle Vezensky
• Lisa J Vis, MSPT
• Leslie Robin Visser, MA, LLP
• Johanna Vogel
• Michael David Voiles, PA
• Mary Lynn Vos
• Breanna Vouaux, LLMSW

• Speech-Language Pathologist in Grandville, MI
• Providers in Grandville, 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 21, 2024; 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.