Individual provider Active NPI

Kaitlyn Ayres, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Ann Arbor, MI
National Provider Identifier
1245776103
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101004846 Issued in MI
Practice address
1111 Catherine St
Ann Arbor, MI 48109-2054
Phone
(734) 764-8440
Fax
(734) 647-2489
NPI assigned
Jan 16, 2017
Sex
Female
Sole proprietor
No

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.

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7101004846MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Um - Center for the Development of Language & Literacy Speech-Language Pathologist Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101004846 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1111 Catherine St
Ann Arbor, MI 48109-2054

Mailing address

1111 Catherine St
Ann Arbor, MI 48109-2054
Phone (734) 764-8440

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1497772396OtherMIUCLL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 16, 2017.

{
    "created_epoch": "1484524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1245776103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 CATHERINE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092054",
            "telephone_number": "734-764-8440",
            "fax_number": "734-647-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 CATHERINE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092054",
            "telephone_number": "734-764-8440",
            "fax_number": "734-647-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRES",
        "first_name": "KAITLYN",
        "name_prefix": "Ms.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-16",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCLL",
            "identifier": "1497772396",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.