Active NPI
Stephanie Wegner
- Speech-Language Pathologist
- South Lyon, MI
National Provider Identifier
1700796158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101007656
- Practice address
- 310 N Warren St
South Lyon, MI 48178-1191 - Phone
- (248) 573-8337
- NPI assigned
- Sep 9, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101007656 | MI | Primary |
Addresses
Primary practice location
310 N Warren St
South Lyon, MI 48178-1191
Mailing address
310 N Warren St
South Lyon, MI 48178-1191
Phone (248) 573-8337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 386194196 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1700796158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N WARREN ST",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481781191",
"telephone_number": "248-573-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N WARREN ST",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481781191",
"telephone_number": "248-573-8337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEGNER",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101007656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "386194196",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Lyon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.