Dana Tigelaar, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101002387 Issued in MI

Practice address

1310 E Beltline Ave SE
Suite 230
Grand Rapids, MI 49506-4300

Phone

(616) 288-3732

Fax

(616) 288-9857

NPI assigned

Jul 27, 2016

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)

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1265985196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 E BELTLINE AVE SE",
            "address_2": "SUITE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064300",
            "telephone_number": "616-288-3732",
            "fax_number": "616-288-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E BELTLINE AVE SE",
            "address_2": "SUITE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064300",
            "telephone_number": "616-288-3732",
            "fax_number": "616-288-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGELAAR",
        "first_name": "DANA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101002387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Jane Tiesenga, APRN
• David Edward Tiesma, M.D.
• Elizabeth Tietema
• Madeline Nicole Tietema
• Kristen Kaye Tiffany
• Nicole Elizabeth Tighe, PA-C
• Angelique Tijerina
• David Tillema, PMHNP
• Carol Tillotson, LLPC
• Ludwig Axel Philip Tilly

• 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 Jan 11, 2017; 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.