Individual provider Active NPI

Michelle Lewald, SLP

  • Speech-Language Pathologist
  • Kalamazoo, MI
National Provider Identifier
1407357130
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101005426 Issued in MI
Practice address
1400 N Drake Rd
Kalamazoo, MI 49006-1978
Phone
(505) 793-7692
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 7101005426 MI Primary

Addresses

Primary practice location

1400 N Drake Rd
Kalamazoo, MI 49006-1978

Mailing address

1459 Byron St SE
Grand Rapids, MI 49506-1702
Phone (505) 793-7692

Other practice location 1

1000 Edison Ave NW
Grand Rapids, MI 49504-3918
Phone (505) 793-7692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521002909 MI Practitioner - Qualified Speech Language Pathologist 8628597804 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101005426MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Speech Therapy, LLC Single Specialty CurrentSince May 13, 2025 Accepting new patients

Locations

6284 Belmont Ave NE
Ste A
Belmont, MI 49306
Phone (616) 951-1077

117 Courtland St
Rockford, MI 49341
Phone (616) 835-9211

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": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407357130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 BYRON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061702",
            "telephone_number": "505-793-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N DRAKE RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490061978",
            "telephone_number": "505-793-7692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Edison Ave NW",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495043918",
            "country_code": "US",
            "telephone_number": "505-793-7692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWALD",
        "first_name": "MICHELLE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.