Individual provider Active NPI

Claudia Vigneron

  • Speech-Language Pathologist
  • Richmond, MI
National Provider Identifier
1265083307
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101008434 Issued in MI
Practice address
67835 Gleason St
Richmond, MI 48062-1361
Phone
(810) 990-5874
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 7101008434 MI Primary

Addresses

Primary practice location

67835 Gleason St
Richmond, MI 48062-1361

Mailing address

1607 Stein Rd
Saint Clair, MI 48079-3011
Phone (810) 990-5874

Other practice location 1

68560 Stoecker Ln
Richmond, MI 48062-8125
Phone (586) 722-2862

Other practice location 2

1607 Stein Rd
Saint Clair, MI 48079-3011
Phone (810) 990-5874

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Michigan, LLC Speech-Language Pathologist CurrentSince Oct 7, 2024 Accepting new patients

Locations

44560 Ford Rd
Canton, MI 48187
Phone (734) 680-8780

4455 24th Ave
Ste 150
Fort Gratiot, MI 48059
Phone (248) 232-0905

135 S Milford Rd
Milford, MI 48381
Phone (248) 685-7272

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

1434 W Chicago Blvd
Ste A
Tecumseh, MI 49286
Phone (517) 507-5555

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": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1265083307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 STEIN RD",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480793011",
            "telephone_number": "810-990-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67835 GLEASON ST",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621361",
            "telephone_number": "810-990-5874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68560 Stoecker Ln",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "MI",
            "postal_code": "480628125",
            "country_code": "US",
            "telephone_number": "586-722-2862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1607 Stein Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Clair",
            "state": "MI",
            "postal_code": "480793011",
            "country_code": "US",
            "telephone_number": "810-990-5874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGNERON",
        "first_name": "CLAUDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, MI

Sources for this page

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