Lakeside Language LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LAKESIDE LANGUAGE LLC

Practice address

196 S 3Rd St # 1
Rogers City, MI 49779-1710

Phone

(231) 445-5090

NPI assigned

Nov 19, 2024

Last updated

Dec 23, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Shelby Carrier, SLPNPI 1912531245

Title

Owner

Phone

(231) 445-5090

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shelby M Carrier, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Rogers City, MI
  • NPI 1912531245
  NPD Authorized official

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1063237600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 S 3RD ST # 1",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791710",
            "telephone_number": "231-445-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 S 3RD ST # 1",
            "city": "ROGERS CITY",
            "state": "MI",
            "postal_code": "497791710",
            "telephone_number": "231-445-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE LANGUAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "CARRIER",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-445-5090",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Judith Kelly, LMT
• Tricia Kowalski, OTRL
• Robert Bruce Kromer, PT
• Arika L Kunath, P.T.
• Dana J La Bar, LPC
• Nikkie J Lalonde-Viegelahn, OD
• Lesley Lalonde
• Cody Michael Lawnichak, PA-C
• Rachel Leckrone
• Kenneth Kale Leppert, R.P.T.

• Speech-Language Pathologist in Rogers City, MI
• Providers in Rogers City, 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 Dec 23, 2024; 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.