Active NPI
Hanna Kim
- Speech-Language Pathologist
- Southfield, MI
National Provider Identifier
1154179463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 26715 Greenfield Rd
Southfield, MI 48076-4717 - Phone
- (248) 557-0050
- NPI assigned
- May 10, 2024
- Last updated
- May 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
26715 Greenfield Rd
Southfield, MI 48076-4717
Mailing address
28071 Ridgebrook Rd
Farmington Hills, MI 48334-3460
Phone (308) 650-2152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
210 Town Ctr Dr
Troy, MI 48084
210 Town Ctr Dr
Troy, MI 48084-1774
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ExpertCare Management Services
- Community/Behavioral Health Agency
- Troy, MI
- NPI 1184139131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1154179463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28071 RIDGEBROOK RD",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483343460",
"telephone_number": "308-650-2152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26715 GREENFIELD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480764717",
"telephone_number": "248-557-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-10",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.