Active NPI
Olen Foss Bowen-Graham, CCC-SLP
- Speech-Language Pathologist
- Ann Arbor, MI
National Provider Identifier
1902672074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101008685
- Practice address
- 400 E Eisenhower Pkwy BLDG 2
Ann Arbor, MI 48108-3302 - Phone
- (734) 232-3270
- NPI assigned
- Nov 30, 2023
- 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 | 7101008685 | MI | Primary |
Addresses
Primary practice location
400 E Eisenhower Pkwy BLDG 2
Ann Arbor, MI 48108-3302
Mailing address
400 E Eisenhower Pkwy BLDG 2
Ann Arbor, MI 48108-3302
Phone (734) 232-3270
Other practice location 1
7500 Challis Rd
Brighton, MI 48116-9416
Phone (810) 263-4204
Other names 1
- Ellen Graham Platt
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7101008685 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1902672074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E EISENHOWER PKWY BLDG 2",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481083302",
"telephone_number": "734-232-3270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E EISENHOWER PKWY BLDG 2",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481083302",
"telephone_number": "734-232-3270"
}
],
"practiceLocations": [
{
"address_1": "7500 Challis Rd",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MI",
"postal_code": "481169416",
"country_code": "US",
"telephone_number": "810-263-4204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOWEN-GRAHAM",
"first_name": "OLEN",
"middle_name": "FOSS",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-30",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101008685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "PLATT",
"middle_name": "GRAHAM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.