Active NPI
Kyla M Huizenga
- Speech-Language Pathologist
- Lansing, MI
National Provider Identifier
1295408508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101007592
- Practice address
- 4285 Development Dr
Lansing, MI 48911-4213 - Phone
- (517) 706-0421
- NPI assigned
- Aug 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101007592 | MI | Primary |
Addresses
Primary practice location
4285 Development Dr
Lansing, MI 48911-4213
Mailing address
3535 Harper Rd
Mason, MI 48854-9322
Phone (260) 316-5259
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627776000000",
"number": "1295408508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 HARPER RD",
"city": "MASON",
"state": "MI",
"postal_code": "488549322",
"telephone_number": "260-316-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4285 DEVELOPMENT DR",
"city": "LANSING",
"state": "MI",
"postal_code": "489114213",
"telephone_number": "517-706-0421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUIZENGA",
"first_name": "KYLA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-01",
"last_updated": "2021-08-01",
"certification_date": "2021-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101007592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.