Individual provider Active NPI

Sydney Alexis Padgett

  • Speech-Language Pathologist
  • East Lansing, MI
National Provider Identifier
1649954587
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7152000684 Issued in MI
Practice address
4572 S Hagadorn Rd Ste 2a
East Lansing, MI 48823-5385
Phone
(517) 220-4974
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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 7152000684 MI Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

4572 S Hagadorn Rd Ste 2a
East Lansing, MI 48823-5385

Mailing address

706 Greengate Cir
Saint Johns, MI 48879-2140
Phone (989) 307-3539

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240912000519 MI Practitioner - Qualified Speech Language Pathologist 7517407992 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7152000684MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Five Lakes Speech Language and Literacy Speech-Language Pathologist CurrentSince Jun 15, 2024 Accepting new patients
Mosaic Speech Therapy LLC Speech-Language Pathologist Current Accepting new patients

Locations

4572 S Hagadorn Rd
Ste 2A
East Lansing, MI 48823
Phone (517) 220-4974

624 S Cedar St
Ste 400
Mason, MI 48854
Phone (517) 898-9664

Organizations & group practices 2

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": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1649954587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 GREENGATE CIR",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792140",
            "telephone_number": "989-307-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4572 S HAGADORN RD STE 2A",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235385",
            "telephone_number": "517-220-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "SYDNEY",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152000684",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

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