Active NPI
Sydney Alexis Padgett
- Speech-Language Pathologist
- East Lansing, MI
National Provider Identifier
1649954587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7152000684
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7152000684 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five Lakes Speech Language and Literacy | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Mason, MI
- NPI 1164176640
-
- Speech-Language Pathologist
- East Lansing, MI
- NPI 1881170892
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.