Susan Jane Haveman-Kruyf, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000306 Issued in MI

Practice address

655 Kenmoor Ave SE Ste a
Grand Rapids, MI 49546-8622

Phone

(616) 575-1213

Fax

(616) 464-4799

NPI assigned

Mar 25, 2008

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)

Enrolled

State licenses

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1740452200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 KENMOOR AVE SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468622",
            "telephone_number": "616-575-1213",
            "fax_number": "616-464-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 KENMOOR AVE SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468622",
            "telephone_number": "616-575-1213",
            "fax_number": "616-464-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEMAN-KRUYF",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Hauck, M.A.
• Stephanie Elise Haughey, NP
• Mia Hauschild
• Nathalie Gabrielle Hautala, MSN, FNP-BC
• Bradley J Haveman-Gould, PA-C
• Jessica Marie Haveman
• Linda Sue Haveman, PH.D., LPC
• Ashley Havemeier, COTA/L
• Haven Alliance
• Haven Spine & Pain Center PLLC

• Audiologist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.