Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mrs. Mary Disselkoen
Audiologist in Grand Rapids, MI · enumerated 2008.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1457596090
See something wrong? Report a correction
Registry record
Entity type Individual (Type 1)
Name Mrs. Mary Disselkoen
Sex Female
Practice address 1353 Van Auken St Se, Grand Rapids, MI, 49508
Phone (616) 819-2685
Fax (616) 819-2684
Enumeration date Dec 11, 2008
Last updated in NPPES Dec 11, 2008
Taxonomy & licenses
231H00000X Audiologist Speech, Language and Hearing Service Providers · License 1601000230 (MI) Primary
231HA2400X Assistive Technology Practitioner Audiologist Speech, Language and Hearing Service Providers · License 1601000230 (MI) Secondary
237600000X Audiologist-Hearing Aid Fitter Speech, Language and Hearing Service Providers · License 1601000230 (MI) Secondary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Mary Disselkoen?
The National Provider Identifier (NPI) for Mary Disselkoen is 1457596090, a Type 1 (individual) record in the CMS NPPES registry.
Where does Mary Disselkoen practice?
The practice location on file with NPPES is in Grand Rapids, MI. Providers can have multiple locations; NPPES lists the primary practice address.
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-12-11.