Emily Ruth Otten

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005635 Issued in MI

Practice address

1425 Bemis St SE
Grand Rapids, MI 49506-2752

Phone

(616) 915-9632

NPI assigned

Sep 23, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1386295392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 BEMIS ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062752",
            "telephone_number": "616-915-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 BEMIS ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062752",
            "telephone_number": "616-915-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTEN",
        "first_name": "EMILY",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005635",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22007263A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribeth Anne Otis, PA-C
• Michael Colin Ott, M.D.
• Natalie Jean Otte, PHD, LP
• Makayla Denae Otteman, PA-C
• Elizabeth R Otten, PA-C
• Todd Richmond Otten, M.D.
• Hillary Maxine Ottenbaker, FNP-C
• Steven Ottenweller, MD
• John Robert Otterbacher, PH.D-CLINICAL PSYCH
• Tijunae Diane Otterbridge

• 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 Sep 23, 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.

Verify at the official NPI Registry.