Margaret Mary Bouwkamp, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101003669 Issued in MI

Practice address

7394 Black Forest Dr
Dexter, MI 48130-9676

Phone

(269) 929-7768

NPI assigned

Jan 12, 2021

Last updated

Jan 12, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Select Speech

  • Speech-Language Pathologist
  • Dexter, MI
  • NPI 1225997356

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1295324416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7394 BLACK FOREST DR",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309676",
            "telephone_number": "269-929-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7394 BLACK FOREST DR",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481309676",
            "telephone_number": "269-929-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUWKAMP",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101003669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bep Medical Group PLLC
• Ennis Berker, PH.D.
• Angela Bethune
• Radhika Anirudh Bhagat, PT
• Marcia Aileen Bockbrader, MD PHD
• Boyce DC PLLC
• Alan Stephen Boyce, DC
• Julie Ann Boyd, M.A.,L.P.C.
• Terry L Braciszewski, PH.D,
• Jaime Brenay

• Speech-Language Pathologist in Dexter, MI
• Providers in Dexter, 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 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.