Grace Claire Hogan, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7151013502 Issued in MI

Practice address

201 Gold Ave NW
Grand Rapids, MI 49504-5607

Phone

(616) 240-5688

NPI assigned

Aug 20, 2021

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1124794912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GOLD AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045607",
            "telephone_number": "616-240-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GOLD AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045607",
            "telephone_number": "616-240-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "GRACE",
        "middle_name": "CLAIRE",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7151013502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald M Hofman, M.D.
• Trevor Hofman, PHARMD
• Ronald Michael Hofmann, MD
• Jane Elizabeth Hofstra
• Katie Hofstra
• Jessica Marie Hogan, BA, QIDP
• Joanne Hogan, PA-C
• Marisa K Hogan
• Melissa Grace Hogan, PA
• Russell E Hogan, PHD

• Speech-Language Pathologist in Grand Rapids, MI
• Providers in Grand Rapids, 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 Aug 20, 2021; 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.