Katelynn Lucille Farr, MA CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TBD Issued in MI

Practice address

9751 E Grand River Ave Ste 1
Portland, MI 48875-9802

Phone

(517) 376-3650

NPI assigned

Jun 25, 2024

Last updated

Jun 25, 2024By 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

Other names 1

• Katie Farr Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Ivyrehab Michigan, LLC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fenton, MI
  • NPI 1104337120

  Speech-Language Pathologist

  Medicare reassignment NPD
• Sparrow Ionia Hospital

  dba Sparrow Medical Group Ionia

  • Family Medicine Physician
  • Ionia, MI
  • NPI 1033271143
  NPD (past)
• Thrive Pediatric Speech and Feeding Therapy, LLC

  • Multi-Specialty Clinic/Center
  • Grandville, MI
  • NPI 1265074827

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1932944725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9751 E GRAND RIVER AVE STE 1",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488759802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9751 E GRAND RIVER AVE STE 1",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488759802",
            "telephone_number": "517-376-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARR",
        "first_name": "KATELYNN",
        "middle_name": "LUCILLE",
        "credential": "MA CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "FARR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Discover Health, PLC
• Roger A Doak, AT
• Stephanie Dunning
• Kate Marie Ermutlu
• Christopher Erskin
• Ann Bernita Fedewa
• Gretchen Findlay, M.A.
• Amber Lynn Fogarty, MA, LLPC
• Erica Foresman, DPT
• Four Seasons Adult Assisted Living

• Speech-Language Pathologist in Portland, MI
• Providers in Portland, 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 Jun 25, 2024; 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.