Individual provider Active NPI

Bushra Kanawati

  • Speech-Language Pathologist
  • Grand Rapids, MI
National Provider Identifier
1982538427
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101009476 Issued in MI
Practice address
2251 E Paris Ave SE
Grand Rapids, MI 49546-2431
Phone
(616) 447-7799
NPI assigned
Jun 10, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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 7101009476 MI Primary

Addresses

Primary practice location

2251 E Paris Ave SE
Grand Rapids, MI 49546-2431

Mailing address

2151 Eastcastle Dr SE Unit 102
Grand Rapids, MI 49508-7719
Phone (714) 767-0884

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

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1982538427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 EASTCASTLE DR SE UNIT 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087719",
            "telephone_number": "714-767-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462431",
            "telephone_number": "616-447-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAWATI",
        "first_name": "BUSHRA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101009476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.