Individual provider Active NPI

Jessica Riyadh Babby, MA, CF-SLP/L

  • Speech-Language Pathologist
  • Walled Lake, MI
National Provider Identifier
1770901217
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101004278 Issued in MI
Practice address
15209 Chesapeake Cir
Walled Lake, MI 48390-5909
Phone
(248) 224-6161
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101004278 MI Primary

Addresses

Primary practice location

15209 Chesapeake Cir
Walled Lake, MI 48390-5909

Mailing address

15209 Chesapeake Cir
Walled Lake, MI 48390-5909
Phone (248) 224-6161

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1770901217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15209 CHESAPEAKE CIR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483905909",
            "telephone_number": "248-224-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15209 CHESAPEAKE CIR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483905909",
            "telephone_number": "248-224-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABBY",
        "first_name": "JESSICA",
        "middle_name": "RIYADH",
        "name_prefix": "Miss",
        "credential": "MA, CF-SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walled Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.