Individual provider Active NPI

Kirsten Nicole Lovely-Perez

  • Speech-Language Pathologist
  • Holly, MI
National Provider Identifier
1578259305
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101008391 Issued in MI
Practice address
10483 Dixie Hwy
Holly, MI 48442-9311
Phone
(810) 771-7686
NPI assigned
Apr 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 7152000348 MI
Speech-Language Pathologist 235Z00000X 7101008391 MI Primary

Addresses

Primary practice location

10483 Dixie Hwy
Holly, MI 48442-9311

Mailing address

10463 Miller Rd
Swartz Creek, MI 48473-8588
Phone (810) 845-5884

Other practice location 1

5815 Bay Rd Ste 400
Saginaw, MI 48604-2542
Phone (989) 799-6885

Other names 1

  • Kirsten Nicole Lovely Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821001688 MI Practitioner - Qualified Speech Language Pathologist 8123480316 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Level 11 Physical TherapyGroup PAC ID 8527104835, 23 clinicians

Practice addresses (Care Compare)

10483 Dixie Hwy
Holly, MI 48442-9311
Phone (810) 771-7686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7101008391MIMDSpeech-Language Pathologist
7152000348MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Level 11 Physical Therapy CurrentSince Jul 18, 2023 Accepting new patients
Level Eleven Saginaw CurrentSince Jul 24, 2023 Accepting new patients
Level Eleven Saginaw, LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

10483 Dixie Hwy
Holly, MI 48442
Phone (810) 498-2301

5815 Bay Rd
Ste 400
Saginaw, MI 48604
Phone (989) 447-2538

Organizations & group practices 3

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": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1578259305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10463 MILLER RD",
            "city": "SWARTZ CREEK",
            "state": "MI",
            "postal_code": "484738588",
            "telephone_number": "810-845-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10483 DIXIE HWY",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484429311",
            "telephone_number": "810-771-7686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5815 Bay Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486042542",
            "country_code": "US",
            "telephone_number": "989-799-6885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVELY-PEREZ",
        "first_name": "KIRSTEN",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152000348",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "LOVELY",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holly, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.