Individual provider Active NPI

Rachel Clare Higgins-Bernhardt, MA, CCC-SLP

  • Speech-Language Pathologist
  • Kalamazoo, MI
National Provider Identifier
1396313730
Registry record updated Jun 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101004819 Issued in MI
Practice address
1011 W Maple St Ste 300
Kalamazoo, MI 49008-5803
Phone
(269) 343-7811
Fax
(269) 343-2810
NPI assigned
Jun 13, 2021
Last updated
Jun 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 7101004819 MI Primary

Addresses

Primary practice location

1011 W Maple St Ste 300
Kalamazoo, MI 49008-5803

Mailing address

14995 N Barton Lake Dr
Vicksburg, MI 49097-8771
Phone (269) 271-6347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210618000513 MI Practitioner - Qualified Speech Language Pathologist 5193125755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1396313730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14995 N BARTON LAKE DR",
            "city": "VICKSBURG",
            "state": "MI",
            "postal_code": "490978771",
            "telephone_number": "269-271-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W MAPLE ST STE 300",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490085803",
            "telephone_number": "269-343-7811",
            "fax_number": "269-343-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS-BERNHARDT",
        "first_name": "RACHEL",
        "middle_name": "CLARE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.