Individual provider Active NPI

Colleen Griffin McFawn, OTR/L

  • Pediatric Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1700232782
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
5201009477 Issued in MI
Practice address
1310 E Beltline Ave SE Ste 230
Grand Rapids, MI 49506-4304
Phone
(616) 288-3732
Fax
(616) 288-9857
NPI assigned
May 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 5201009477 MI Primary

Addresses

Primary practice location

1310 E Beltline Ave SE Ste 230
Grand Rapids, MI 49506-4304

Mailing address

7086 8TH Avenue
Jenison, MI 49428
Phone (616) 667-9551

Other practice location 1

7086 8th Ave
Jenison, MI 49428-9352
Phone (616) 667-9551

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
5201009477MIMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calvin Spaud, Inc PastSince Sep 4, 2018 Accepting new patients

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": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1700232782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7086 8TH AVENUE",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "49428",
            "telephone_number": "616-667-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E BELTLINE AVE SE STE 230",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495064304",
            "telephone_number": "616-288-3732",
            "fax_number": "616-288-9857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7086 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Jenison",
            "state": "MI",
            "postal_code": "494289352",
            "country_code": "US",
            "telephone_number": "616-667-9551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFAWN",
        "first_name": "COLLEEN",
        "middle_name": "GRIFFIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-10",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MI",
            "license": "5201009477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.