Active NPI
Christelle Jeffrey
- Speech-Language Pathologist
- Allen Park, MI
National Provider Identifier
1720459696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101004396
- Practice address
- 1000 Republic Dr
Allen Park, MI 48101-3658 - Phone
- (313) 522-5777
- Fax
- (313) 436-5188
- NPI assigned
- Oct 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 7101004396 | MI | Primary |
Addresses
Primary practice location
1000 Republic Dr
Allen Park, MI 48101-3658
Mailing address
1000 Republic Dr
Allen Park, MI 48101-3658
Phone (313) 522-5777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900747294 | Other | MI | CHITTER CHATTER, P.C |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101004396 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1720459696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 REPUBLIC DR",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481013658",
"telephone_number": "313-522-5777",
"fax_number": "313-436-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 REPUBLIC DR",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481013658",
"telephone_number": "313-522-5777",
"fax_number": "313-436-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFREY",
"first_name": "CHRISTELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-16",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101004396",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHITTER CHATTER, P.C",
"identifier": "900747294",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allen Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.