Organization Active NPI

Kindred Speech Therapy LLC

  • Speech-Language Pathologist
  • Fenton, MI
National Provider Identifier
1679252969
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
KINDRED SPEECH THERAPY LLC
Practice address
265 N Alloy Dr Ste 2
Fenton, MI 48430-2646
Phone
(810) 373-9507
Fax
(855) 221-3640
NPI assigned
Jul 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Elyse Lamphier
Title
Owner/SLP
Phone
(810) 348-4350

Specialties & licenses 1

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

Addresses

Primary practice location

265 N Alloy Dr Ste 2
Fenton, MI 48430-2646

Mailing address

16341 Redwood CT
Fenton, MI 48430-9178
Phone (810) 348-4350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231101003103 MI Part B Supplier - Clinic/Group Practice 8921454521 Receives reassigned benefits from 2 practitioners
Practice locations: Fenton, MI

National Provider Directory

National Provider Directory

Locations

202 W Shiawassee Ave
Ste 216
Fenton, MI 48430
Phone (810) 373-9507

265 N Alloy Dr
Ste 2
Fenton, MI 48430
Phone (810) 373-9507

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1679252969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16341 REDWOOD CT",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309178",
            "telephone_number": "810-348-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N ALLOY DR STE 2",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302646",
            "telephone_number": "810-373-9507",
            "fax_number": "855-221-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2024-01-11",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "LAMPHIER",
        "authorized_official_first_name": "ELYSE",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "810-348-4350"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.