Active NPI
Michaela Allsup Fryer, M.C.D., CCC-SLP
- Speech-Language Pathologist
- Auburn, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5061
- Practice address
- 528 Sundilla CT
Auburn, AL 36830-3222 - Phone
- (256) 366-7871
- NPI assigned
- Aug 4, 2021
- Last updated
- Aug 2, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30427 | CA | |
| Speech-Language Pathologist | 235Z00000X | 5061 | AL | Primary |
Addresses
Primary practice location
528 Sundilla CT
Auburn, AL 36830-3222
Mailing address
528 Sundilla CT
Auburn, AL 36830-3222
Phone (256) 366-7871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1199 Haley Ctr
Auburn University, AL 36849-0001
Phone (334) 844-9600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5061 | AL | MD | Speech-Language Pathologist |
| 30427 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn University | Speech-Language Pathologist | Current | Accepting new patients |
| Auburn Speech and Apraxia LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Auburn University | Current | Accepting new patients | |
| Auburn University | Past | Accepting new patients | |
| Sunshine Pediatrics, LLC | Past | Accepting new patients | |
| Sunshine Pediatrics LLC | Past | Accepting new patients |
Locations
1199 Duncan Hall
Auburn University, AL 36849
1199 Haley Ctr
Auburn University, AL 36849
Phone (334) 844-9600
Organizations & group practices 6
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.
-
dba Auburn University Speech & Hearing Clinic
- Speech-Language Pathologist
- Auburn University, AL
- NPI 1235316753
-
- Speech-Language Pathologist
- Auburn, AL
- NPI 1477329829
-
dba Auburn University Healthcare and Education Clinic
- Clinic/Center
- Auburn, AL
- NPI 1700464260
-
dba SEIB Healthcare Center
- Health Service Clinic/Center
- Montgomery, AL
- NPI 1376836163
-
- Pediatrics Physician
- Auburn, AL
- NPI 1811595226
-
- Specialist
- Seattle, WA
- NPI 1871275586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1265106074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 SUNDILLA CT",
"city": "AUBURN",
"state": "AL",
"postal_code": "368303222",
"telephone_number": "256-366-7871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 SUNDILLA CT",
"city": "AUBURN",
"state": "AL",
"postal_code": "368303222",
"telephone_number": "256-366-7871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYER",
"first_name": "MICHAELA",
"middle_name": "ALLSUP",
"name_prefix": "Mrs.",
"credential": "M.C.D., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-04",
"last_updated": "2023-08-02",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "30427",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "5061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.