Joni Sue McCollum

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

Practice address

6546 Ann Rd
Fruitport, MI 49415-9616

Phone

(231) 830-9339

Fax

(231) 737-1464

NPI assigned

Apr 13, 2023

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)

Not enrolled

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1508552522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6546 ANN RD",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159616",
            "telephone_number": "231-830-9339",
            "fax_number": "231-737-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6546 ANN RD",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159616",
            "telephone_number": "231-830-9339",
            "fax_number": "231-737-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLUM",
        "first_name": "JONI",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Kirshman, DO
• Chelsea Lynn Klipfel, DDS, PLLC
• Taewoong Kong, MD
• Kevin E Krum, MA LLP
• Kyle D. Kutsche, MD
• Amanda McGettigan, DO
• Lauren McGraw, DO
• Mercy Physician Network
• Megan Marie Michelli, A-GNP-C
• Courtney Nicole Monroe

• Day Training/Habilitation Specialist in Fruitport, MI
• Providers in Fruitport, MI by specialty
• Day Training/Habilitation Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.