Hannah Pettinga, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101006401 Issued in MI

Practice address

7086 8TH Ave
Jenison, MI 49428-9352

Phone

(616) 667-9551

NPI assigned

Aug 1, 2019

Last updated

Aug 1, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pediatric Speech Services LLC

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1487005807
  Medicare reassignment NPD
• Paper Plane Therapies, LLC

  • Pediatric Occupational Therapist
  • Grand Rapids, MI
  • NPI 1073975645
  NPD (past)

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1861046344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 JAMES AVE SE # LEVEL1",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034732",
            "telephone_number": "616-610-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7086 8TH AVE",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289352",
            "telephone_number": "616-667-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTINGA",
        "first_name": "HANNAH",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101006401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patient One Care PLLC (AFC Urgent Care)
• Elizabeth Payne
• Heather Pentecost
• David Charles Perrin, MS PT, ATC, CSCS
• Perspectives of Troy, PC (Jenison Psychological Services PC)
• Clara Phillips
• Brynne Alysse Pieters, OTRL
• Mark Lamarr Powell, DDS MSD
• Susan Jane Powers, MA, LLP
• Karen Louise Price, MSW

• Speech-Language Pathologist in Jenison, MI
• Providers in Jenison, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.