Individual provider Active NPI

Marnie M Rossow

  • Speech/Language/Hearing Specialist/Technologist
  • Port Huron, MI
National Provider Identifier
1760619761
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech/Language/Hearing Specialist/TechnologistTaxonomy code 235500000X
Practice address
1522 Pine Grove Ave
Suite a
Port Huron, MI 48060-3382
Phone
(810) 982-3277
Fax
(810) 982-0716
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech/Language/Hearing Specialist/Technologist 235500000X Primary

Addresses

Primary practice location

1522 Pine Grove Ave
Suite a
Port Huron, MI 48060-3382

Mailing address

1522 Pine Grove Ave
Suite a
Port Huron, MI 48060-3382
Phone (810) 982-3277

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

NPI Registry JSON

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1760619761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 PINE GROVE AVE",
            "address_2": "SUITE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603382",
            "telephone_number": "810-982-3277",
            "fax_number": "810-982-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 PINE GROVE AVE",
            "address_2": "SUITE A",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603382",
            "telephone_number": "810-982-3277",
            "fax_number": "810-982-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSOW",
        "first_name": "MARNIE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.