Michelle Konynenbelt

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000925 Issued in MI

Practice address

8900 Mica Dr
Zeeland, MI 49464-8344

Phone

(616) 405-6653

NPI assigned

Sep 3, 2015

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

Other names 1

• Michelle Schaap Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Calvin Spaud, Inc

  • Hearing Aid Equipment
  • Grand Rapids, MI
  • NPI 1437520210
  NPD (past)

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1164890406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 MICA DR",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 MICA DR",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494648344",
            "telephone_number": "616-405-6653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 E Beltline Ave SE",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495064304",
            "country_code": "US",
            "telephone_number": "616-526-8947",
            "fax_number": "616-526-8952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONYNENBELT",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SCHAAP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Taylor Klifman, DC
• KMS Counseling and Consulting, PLLC
• Teagan Knapp
• Derek James Knoth
• Brian Edward Konynenbelt, O.D.
• Stanley M Konynenbelt, OD
• Dawn Korenstra, RN
• Hope E Kortman
• Nycole L Kragt
• Jager C Kukowski

• Speech-Language Pathologist in Zeeland, MI
• Providers in Zeeland, 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 Mar 17, 2018; 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.