Individual provider Active NPI

Aimee Rose Heiniger, CF-SLP

  • Speech-Language Pathologist
  • Wyoming, MI
National Provider Identifier
1891307476
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7151000893 Issued in MI
Practice address
2250 28TH St SW Ste 2
Wyoming, MI 49519-2306
Phone
(616) 379-9887
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7151000893 MI Primary

Addresses

Primary practice location

2250 28TH St SW Ste 2
Wyoming, MI 49519-2306

Mailing address

6742 Rollingview Dr
Hudsonville, MI 49426
Phone (248) 470-9528

Other practice location 1

16760 Lincoln St
Grand Haven, MI 49417-8864
Phone (616) 935-3300

Other identifiers 1

IdentifierTypeStateIssuer
7151000893OtherMISTATE LICENSE

Other names 1

  • Aimee Rose Moccia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826000827 MI Practitioner - Qualified Speech Language Pathologist 7214354984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7151000893MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Pediatric Speech and Feeding Therapy, LLC Speech-Language Pathologist CurrentSince Oct 10, 2021 Accepting new patients

Locations

2855 44th St SW
Ste 160
Grandville, MI 49418
Phone (616) 379-9887

2250 28th St SW
Ste 2
Wyoming, MI 49519
Phone (616) 379-9887

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1891307476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6742 ROLLINGVIEW DR",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "49426",
            "telephone_number": "248-470-9528",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 28TH ST SW STE 2",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495192306",
            "telephone_number": "616-379-9887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16760 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494178864",
            "country_code": "US",
            "telephone_number": "616-935-3300",
            "fax_number": "616-935-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINIGER",
        "first_name": "AIMEE",
        "middle_name": "ROSE",
        "credential": "CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7151000893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7151000893",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AIMEE",
            "last_name": "MOCCIA",
            "middle_name": "ROSE",
            "credential": "CF-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.