Active NPI
Kassie L. Rodino, MA/CCC/SLP
- Speech-Language Pathologist
- Holland, MI
National Provider Identifier
1689808263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01077309
- Practice address
- 2980 Pine Edge CT
Holland, MI 49424-1676 - Phone
- (616) 994-6352
- NPI assigned
- May 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01077309 | MI | Primary |
Addresses
Primary practice location
2980 Pine Edge CT
Holland, MI 49424-1676
Mailing address
2980 Pine Edge CT
Holland, MI 49424-1676
Phone (616) 994-6352
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01077309 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242000000000",
"number": "1689808263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2980 PINE EDGE CT",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494241676",
"telephone_number": "616-994-6352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2980 PINE EDGE CT",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494241676",
"telephone_number": "616-994-6352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODINO",
"first_name": "KASSIE",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "MA/CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-11",
"last_updated": "2009-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "01077309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.