Active NPI
Gail Ann O'Rourke, M.A., CCC-SLP
- Speech-Language Pathologist
- Grand Rapids, MI
National Provider Identifier
1184974271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1331 Lake Dr SE
Suite 105
Grand Rapids, MI 49506-1674 - Phone
- (616) 447-7799
- NPI assigned
- Sep 15, 2012
- Sex
- Female
- Sole proprietor
- No
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
1331 Lake Dr SE
Suite 105
Grand Rapids, MI 49506-1674
Mailing address
1331 Lake Dr SE
Suite 105
Grand Rapids, MI 49506-1674
Phone (616) 447-7799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347667200000",
"number": "1184974271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 LAKE DR SE",
"address_2": "SUITE 105",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061674",
"telephone_number": "616-447-7799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 LAKE DR SE",
"address_2": "SUITE 105",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495061674",
"telephone_number": "616-447-7799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'ROURKE",
"first_name": "GAIL",
"middle_name": "ANN",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-15",
"last_updated": "2012-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.