Laylah Ali

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601002113 Issued in MI

Practice address

1 Campus Dr
Allendale, MI 49401-9403

Phone

(616) 331-3133

NPI assigned

Jan 12, 2017

Last updated

May 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grand Valley State University

  dba Campus Health Center

  • Urgent Care Clinic/Center
  • Allendale, MI
  • NPI 1518019223
  NPD (past)
• Grand Valley State University

  • Student in an Organized Health Care Education/Training Program
  • Allendale, MI
  • NPI 1689064610
  NPD (past)

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1164968210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11256 AVERY AVE",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAMPUS DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019403",
            "telephone_number": "616-331-3133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 Wisconsin St SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495091955",
            "country_code": "US",
            "telephone_number": "269-870-5261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALI",
        "first_name": "LAYLAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "PA",
            "license": "RT00687",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601002113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilianna Caterina Accardo
• Arica Anne Adams
• Advantage Health Convenient Care PLLC
• Julia Agrusa
• Elizabeth L Albright, DO
• Allendale Eye Care, LLC
• Allendale Family Practice
• Allendale Family Vision LLC
• Jessica Altman, LMT
• Megan Alwardt, PT, DPT

• Athletic Trainer in Allendale, MI
• Providers in Allendale, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.