Individual provider Active NPI

John Kinney, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Ishpeming, MI
National Provider Identifier
1477464873
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101000215 Issued in MI
Practice address
350 Aspen Ridge School Rd
Ishpeming, MI 49849-9092
Phone
(906) 485-3175
NPI assigned
Sep 15, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101000215 MI Primary

Addresses

Primary practice location

350 Aspen Ridge School Rd
Ishpeming, MI 49849-9092

Mailing address

350 Aspen Ridge School Rd
Ishpeming, MI 49849-9092
Phone (906) 485-3175

Other practice location 1

300 S Westwood Dr
Ishpeming, MI 49849-2922
Phone (906) 485-1023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1477464873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ASPEN RIDGE SCHOOL RD",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498499092",
            "telephone_number": "906-485-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ASPEN RIDGE SCHOOL RD",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498499092",
            "telephone_number": "906-485-3175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Westwood Dr",
            "address_purpose": "LOCATION",
            "city": "Ishpeming",
            "state": "MI",
            "postal_code": "498492922",
            "country_code": "US",
            "telephone_number": "906-485-1023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "JOHN",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ishpeming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.