Individual provider Active NPI

Bethany Kemler

  • Speech-Language Pathologist
  • Kentwood, MI
National Provider Identifier
1669903951
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101004100 Issued in MI
Practice address
5358 Brookwood Dr SE
Kentwood, MI 49508-6173
Phone
(616) 340-1186
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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 7101004100 MI Primary

Addresses

Primary practice location

5358 Brookwood Dr SE
Kentwood, MI 49508-6173

Mailing address

5358 Brookwood Dr SE
Kentwood, MI 49508-6173

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101004100MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paper Plane Therapies, LLC CurrentSince Dec 6, 2017 Accepting new patients

Locations

400 Ann St NW
Ste 106A
Grand Rapids, MI 49504
Phone (616) 291-9762

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1669903951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5358 BROOKWOOD DR SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5358 BROOKWOOD DR SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086173",
            "telephone_number": "616-340-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMLER",
        "first_name": "BETHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.