Active NPI
Katherine Anne Smith, MD
- Speech-Language Pathologist
- Grandville, MI
National Provider Identifier
1891424990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7152000175
- Practice address
- 3181 Prairie St SW
Grandville, MI 49418-2097 - Phone
- (616) 730-2184
- NPI assigned
- Jun 6, 2022
- Last updated
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7152000175 | MI | Primary |
Addresses
Primary practice location
3181 Prairie St SW
Grandville, MI 49418-2097
Mailing address
476 Greenbrier Dr SE
Grand Rapids, MI 49546-2273
Phone (616) 340-3218
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7152000175 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1891424990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "476 GREENBRIER DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462273",
"telephone_number": "616-340-3218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 PRAIRIE ST SW",
"city": "GRANDVILLE",
"state": "MI",
"postal_code": "494182097",
"telephone_number": "616-730-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"name_prefix": "Miss",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7152000175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grandville, MI
- Emily Brooke Sluiter, LMSW
- Jacqueline Ann Smith
- Jeffrey Schaefer Smith, DDS, MS
- Joshua Smith, DDS
- Kaitlyn Marie Smith
- Kaylee Elizabeth Snyder, BT
- Esther A Sobong, MD
- Soft Medical, PC (Soft Cosmetic Lasar and Vein Center)
- Southwest Michigan Radiology, PLLC (Clarity Screening Mammography)
- Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.