Individual provider Active NPI

Cheryl Nall, SPEECH LANGUAGE PATH

  • Speech-Language Pathologist
  • Chesterfield, MI
National Provider Identifier
1376798686
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
09146025 Issued in MI
Practice address
49664 Gratiot Ave
Chesterfield, MI 48051-2526
Phone
(586) 435-6942
Fax
(586) 435-2331
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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 09146025 MI Primary

Addresses

Primary practice location

49664 Gratiot Ave
Chesterfield, MI 48051-2526

Mailing address

49664 Gratiot Ave
Chesterfield, MI 48051-2526
Phone (586) 435-6942

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

State licenses

LicenseStateTypeSpecialty
09146025MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Therapeutic Learning and Communication, PLLC Speech-Language Pathologist Past Accepting new patients

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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1376798686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49664 GRATIOT AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512526",
            "telephone_number": "586-435-6942",
            "fax_number": "586-435-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49664 GRATIOT AVE",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512526",
            "telephone_number": "586-435-6942",
            "fax_number": "586-435-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALL",
        "first_name": "CHERYL",
        "credential": "SPEECH LANGUAGE PATH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "09146025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.