Individual provider Active NPI

Abigail Siefert, MA CF-SLP

  • Speech-Language Pathologist
  • Howell, MI
National Provider Identifier
1255169595
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7152000943 Issued in MI
Practice address
1030 W Highland Rd
Howell, MI 48843-8701
Phone
(419) 606-6583
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 7152000943 MI Primary

Addresses

Primary practice location

1030 W Highland Rd
Howell, MI 48843-8701

Mailing address

15400 Silver Pkwy Apt 207
Fenton, MI 48430-3490
Phone (419) 606-6583

Other practice location 1

10483 Dixie Hwy
Holly, MI 48442-9311
Phone (419) 606-6583

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
7152000943MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1255169595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 SILVER PKWY APT 207",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303490",
            "telephone_number": "419-606-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W HIGHLAND RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438701",
            "telephone_number": "419-606-6583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10483 Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Holly",
            "state": "MI",
            "postal_code": "484429311",
            "country_code": "US",
            "telephone_number": "419-606-6583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEFERT",
        "first_name": "ABIGAIL",
        "credential": "MA CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152000943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.