KATELYN ANNE HUIZENGA - NPI 1891668703 - Speech-Language Pathologist in Grand Rapids, MI

Q: What is Katelyn Huizenga's NPI number?

The NPI number for Katelyn Huizenga is 1891668703. It was assigned to this individual provider in the NPPES registry on September 26, 2025.

Q: What is Katelyn Huizenga's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Katelyn Huizenga was last updated on September 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Katelyn Anne Huizenga NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN ANNE HUIZENGA (NPI 1891668703) is an individual speech-language pathologist provider in Grand Rapids, Michigan, licensed in Michigan (7101009654) and active in the NPI registry since September 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1891668703

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameKATELYN ANNE HUIZENGA

Location Address2922 FULLER AVE NE STE 107Grand Rapids, MI 49505-3459

Mailing Address2922 Fuller Ave Ne Ste 107Grand Rapids, MI 49505-3459 · (616) 570-0925

Phone(616) 570-0925

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 26, 2025

NPPES CertifiedSeptember 26, 2025

✔ NPI 1891668703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MI · 7101009654

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

2922 FULLER AVE NE STE 107, Grand Rapids, MI 49505

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katelyn Anne Huizenga is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840797056

PECOS Enrollment IDI20251006002958

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE ALEXANDRA EISMA M.A. CCC-SLP

Speech-Language Pathologist