Alexis Lorene Smith, CFY-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7152001059 Issued in MI

Practice address

7007 Dexter Ann Arbor Rd Ste a
Dexter, MI 48130-8568

Phone

(734) 680-8800

NPI assigned

Dec 24, 2024

Last updated

Dec 26, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivyrehab Michigan, LLC

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  • Fenton, MI
  • NPI 1104337120

  Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1760290548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47670 W HURON RIVER DR",
            "city": "VAN BUREN TWP",
            "state": "MI",
            "postal_code": "481114451",
            "telephone_number": "734-740-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 DEXTER ANN ARBOR RD STE A",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481308568",
            "telephone_number": "734-680-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXIS",
        "middle_name": "LORENE",
        "credential": "CFY-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-24",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7152001059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Victoria Shipley, MS
• Brandon Shoukri, D.D.S., M.S.
• Brittany Nicole Shupe-Sawyer, LMSW
• Melanie Jo Siebert, OT
• Bhavneet Singh, MD
• Kelsey Marie Smith, MSW
• Kirsten Grace Smith, PHARMD
• Sole Serenity Therapy PLLC
• Sarah Sorenson, MSED
• Jennifer L Spitler, LMSW

• Speech-Language Pathologist in Dexter, MI
• Providers in Dexter, 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 Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.