Individual provider Active NPI

Michaela Allsup Fryer, M.C.D., CCC-SLP

  • Speech-Language Pathologist
  • Auburn, AL
National Provider Identifier
1265106074
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5061 Issued in AL
Practice address
528 Sundilla CT
Auburn, AL 36830-3222
Phone
(256) 366-7871
NPI assigned
Aug 4, 2021
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250604001859 AL Practitioner - Qualified Speech Language Pathologist 9739698390 Reassigns benefits to 1 organization

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
Auburn UniversityGroup PAC ID 2365735750, 9 clinicians

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

LicenseStateTypeSpecialty
5061ALMDSpeech-Language Pathologist
30427CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn University Speech-Language Pathologist CurrentSince May 19, 2025 Accepting new patients
Auburn Speech and Apraxia LLC Speech-Language Pathologist CurrentSince Dec 3, 2023 Accepting new patients
Auburn University CurrentSince May 19, 2025 Accepting new patients
Auburn University Past Accepting new patients
Sunshine Pediatrics, LLC PastSince May 1, 2021 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.

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.

Verify at the official NPI Registry.