Grace Katheryn Trap

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

706 Kentucky Ave
South Haven, MI 49090-9607

Phone

(269) 639-7319

NPI assigned

Aug 14, 2023

Last updated

Jun 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1710660915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 KENTUCKY AVE",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909607",
            "telephone_number": "616-450-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 KENTUCKY AVE",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490909607",
            "telephone_number": "269-639-7319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 E Beltline Ave SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495064336",
            "country_code": "US",
            "telephone_number": "616-450-2156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Old Centre Rd",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490244851",
            "country_code": "US",
            "telephone_number": "269-324-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAP",
        "first_name": "GRACE",
        "middle_name": "KATHERYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri L. Harsch
• Verne E Ticknor, D.D.S.
• Merranda Tillery
• James Frederick Tinklenberg, R.PH.
• Randy Scott Tourchette, PHARM. D
• Turner Home Healthcare
• Turner Tender Care
• Anitra Ranee Tyson
• Tyson's Helping Hands Home and Companion Care Services. LLC
• Tyson's Helping Hands Home and Companion Care Services. LLC

• Occupational Therapy Assistant in South Haven, MI
• Providers in South Haven, MI by specialty
• Occupational Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.