Leah Grace Nesburg, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005225 Issued in MI

Practice address

600 3 Mile Road NW
Suite 102
Walker, MI 49544

Phone

(616) 666-6396

Fax

(616) 259-4207

NPI assigned

Oct 10, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Leah Grace Busse Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

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.

• Integrated Rehabilitation Services, LLC

  • Speech-Language Pathologist
  • Plymouth, MI
  • NPI 1265919633
  Medicare reassignment NPD
• Building Blocks Foundation, Inc

  • Speech-Language Pathologist
  • Grand Rapids, MI
  • NPI 1609589589
  NPD (past)

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1699317792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 3 MILE ROAD NW",
            "address_2": "SUITE 102",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "49544",
            "telephone_number": "616-666-6396",
            "fax_number": "616-259-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 3 MILE ROAD NW",
            "address_2": "SUITE 102",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "49544",
            "telephone_number": "616-666-6396",
            "fax_number": "616-259-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBURG",
        "first_name": "LEAH",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "BUSSE",
            "middle_name": "GRACE",
            "prefix": "MISS",
            "credential": "MA, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bethany Anne Murray, LMSW, CAAC
• Myeyedr Optometry of Michigan, LLC
• Myeyedr Optometry of Michigan, LLC
• National Vision Inc
• Grace Elizabeth Neeley
• Taylor Neuhaus, MS
• New Dimension Building
• Hanna Marie Nordbeck
• Northland Hearing Centers, Inc.
• Northwest Counseling Associates, PLLC

• Speech-Language Pathologist in Walker, MI
• Providers in Walker, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.