Individual provider Active NPI

Kimberly Wesaw, SLP-CCC

  • Speech-Language Pathologist
  • Alpena, MI
National Provider Identifier
1174473649
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101002547 Issued in MI
Practice address
350 Pinecrest St
Alpena, MI 49707-1328
Phone
(989) 278-8878
NPI assigned
Feb 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101002547 MI Primary

Addresses

Primary practice location

350 Pinecrest St
Alpena, MI 49707-1328

Mailing address

2805 S Industrial Hwy Ste 100
Ann Arbor, MI 48104-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260217002847 MI Practitioner - Qualified Speech Language Pathologist 8426538539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1140 Dow Dr
Alpena, MI 49707-1204

2805 S Industrial Hwy
Suite 100
Ann Arbor, MI 48104-6791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101002547MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
ABA Pathways, LLC Speech-Language Pathologist CurrentSince Feb 10, 2026 Accepting new patients

Locations

350 Pinecrest St
Alpena, MI 49707
Phone (989) 278-8878

2890 Carpenter Rd
Ste 1100
Ann Arbor, MI 48108
Phone (734) 292-5224

2805 S Industrial Hwy
Ste 100
Ann Arbor, MI 48104
Phone (734) 203-0181

300 Saint Andrews Rd
Saginaw, MI 48638
Phone (989) 341-3653

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1174473649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 S INDUSTRIAL HWY STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINECREST ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071328",
            "telephone_number": "989-278-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESAW",
        "first_name": "KIMBERLY",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101002547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.