Individual provider Active NPI

Corrine Hoetger

  • Feeding, Eating & Swallowing Occupational Therapy Assistant
  • Buchanan, MI
National Provider Identifier
1891124558
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Feeding, Eating & Swallowing Occupational Therapy AssistantTaxonomy code 224ZF0002X
License
32001292A Issued in IN
Practice address
2957 White Oaks RDG
Buchanan, MI 49107-8116
Phone
(269) 362-5390
NPI assigned
Nov 4, 2013
Last updated
Nov 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Feeding, Eating & Swallowing Occupational Therapy Assistant 224ZF0002X 32001292A IN Primary

Addresses

Primary practice location

2957 White Oaks RDG
Buchanan, MI 49107-8116

Mailing address

2957 White Oaks RDG
Buchanan, MI 49107-8116
Phone (269) 362-5390

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

State licenses

LicenseStateTypeSpecialty
32001292AINMDFeeding, Eating & Swallowing Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1891124558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2957 WHITE OAKS RDG",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491078116",
            "telephone_number": "269-362-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2957 WHITE OAKS RDG",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491078116",
            "telephone_number": "269-362-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOETGER",
        "first_name": "CORRINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
            "state": "IN",
            "license": "32001292A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buchanan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.