Mikayla Kempf, PA-C, ATC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2505 Showtime Dr
Lansing, MI 48912-5611

Phone

(734) 679-2154

NPI assigned

Mar 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1615075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1770178147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 BURGUNDY ST",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871416",
            "telephone_number": "734-454-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SHOWTIME DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489125611",
            "telephone_number": "734-679-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPF",
        "first_name": "MIKAYLA",
        "credential": "PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-07",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Dietzel, LMFT
• Annette Lyn Kelly, PMHNP-BC
• Richard Kelly, LLP
• Trisha Kelly
• Keri Ann Kemp
• Grace P Kempter, DPT
• Ken Holmberg LLC
• Megan M Kendrick, LMSW
• Dana Beth Kennedy, NP-C
• Paul R Kennedy, OD

• Physician Assistant in Lansing, MI
• Providers in Lansing, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.