Active NPI
Mona Lisa Speaks, PROSTHETIC PROVIDER
- Prosthetics Case Management
- Pontiac, MI
National Provider Identifier
1083810071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 383124544
- Practice address
- 91 N Saginaw St
100
Pontiac, MI 48342-2165 - Phone
- (248) 338-0723
- Fax
- (248) 338-0817
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 383124544 | MI | Primary |
Addresses
Primary practice location
91 N Saginaw St
100
Pontiac, MI 48342-2165
Mailing address
91 N Saginaw St
100
Pontiac, MI 48342-2165
Phone (248) 338-0723
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 383124544 | MI | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083810071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 N SAGINAW ST",
"address_2": "100",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422165",
"telephone_number": "248-338-0723",
"fax_number": "248-338-0817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 N SAGINAW ST",
"address_2": "100",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422165",
"telephone_number": "248-338-0723",
"fax_number": "248-338-0817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEAKS",
"first_name": "MONA",
"middle_name": "LISA",
"name_prefix": "Ms.",
"credential": "PROSTHETIC PROVIDER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "MI",
"license": "383124544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.