Alyssa Misiak, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7152000483 Issued in MI

Practice address

2450 44TH St SE Ste 201
Kentwood, MI 49512-9081

Phone

(616) 528-0870

Fax

(616) 591-5684

NPI assigned

Jun 5, 2023

Last updated

Feb 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Duncan Lake Speech Therapy, LLC

  • Speech-Language Pathologist
  • Kentwood, MI
  • NPI 1376195925
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1396439394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 COBB DR SE APT 3B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 44TH ST SE STE 201",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495129081",
            "telephone_number": "616-528-0870",
            "fax_number": "616-591-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISIAK",
        "first_name": "ALYSSA",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152000483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua M Miles, LMT
• Christopher Andrew Miller, D.C.
• Lauren Miller
• Louds Miller
• Mindfulness for All LLC
• Elizabeth Mitchell
• Joseph A Mitidieri, RPH
• MKH Kids & Connections PC
• Jane Moore
• Jocelynne Moore

• Speech-Language Pathologist in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.