Active NPI
Nebula Speech Therapy
- Hearing and Speech Clinic/Center
- Charlotte, MI
National Provider Identifier
1013712959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- NEBULA SPEECH THERAPY
- Practice address
- 622 S Sheldon St
Charlotte, MI 48813-1848 - Phone
- (517) 554-0070
- NPI assigned
- Feb 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Makenzi Farmer, M.A,
- Title
- Speech-Language Pathologist
- Phone
- (517) 554-0070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Augmentative Communication Clinic/Center | 261QA3000X | |||
| Hearing and Speech Clinic/Center | 261QH0700X | Primary |
Addresses
Primary practice location
622 S Sheldon St
Charlotte, MI 48813-1848
Mailing address
622 S Sheldon St
Charlotte, MI 48813-1848
Phone (517) 554-0070
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Charlotte, MI
- NPI 1083112296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739491200000",
"number": "1013712959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 S SHELDON ST",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488131848",
"telephone_number": "517-554-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 S SHELDON ST",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488131848",
"telephone_number": "517-554-0070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEBULA SPEECH THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-14",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A",
"authorized_official_last_name": "FARMER",
"authorized_official_first_name": "MAKENZI",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "517-554-0070",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.A,"
},
"taxonomies": [
{
"code": "261QA3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Augmentative Communication",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.