Active NPI
Eileen Kerrigan Furest, MA,CCC-SLP
- Speech-Language Pathologist
- Grosse Pointe Woods, MI
National Provider Identifier
1194299156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101002421
- Practice address
- 21401 Mack Ave
Grosse Pointe Woods, MI 48236-1048 - Phone
- (586) 778-0800
- NPI assigned
- Jan 13, 2019
- Last updated
- Jan 13, 2019
- 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 | 7101002421 | MI | Primary |
Addresses
Primary practice location
21401 Mack Ave
Grosse Pointe Woods, MI 48236-1048
Mailing address
386 McKinley Ave
Grosse Pointe Farms, MI 48236-3423
Phone (313) 885-8010
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101002421 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547337600000",
"number": "1194299156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "386 MCKINLEY AVE",
"city": "GROSSE POINTE FARMS",
"state": "MI",
"postal_code": "482363423",
"telephone_number": "313-885-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21401 MACK AVE",
"city": "GROSSE POINTE WOODS",
"state": "MI",
"postal_code": "482361048",
"telephone_number": "586-778-0800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUREST",
"first_name": "EILEEN",
"middle_name": "KERRIGAN",
"credential": "MA,CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-13",
"last_updated": "2019-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101002421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.