Active NPI
Kerry Bolton
- Speech-Language Pathologist
- Lake Orion, MI
National Provider Identifier
1851204457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101009583
- Practice address
- 2290 Flintridge St
Lake Orion, MI 48359-1612 - Phone
- (248) 391-3500
- NPI assigned
- Sep 24, 2026
- Last updated
- Sep 24, 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 | 7101009583 | MI | Primary |
Addresses
Primary practice location
2290 Flintridge St
Lake Orion, MI 48359-1612
Mailing address
580 Hecht Dr
Madison Heights, MI 48071-2854
Other practice location 1
2509 Waldon Rd
Lake Orion, MI 48360-1747
Phone (248) 391-1100
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": "1790208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790208000000",
"number": "1851204457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 HECHT DR",
"city": "MADISON HEIGHTS",
"state": "MI",
"postal_code": "480712854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 FLINTRIDGE ST",
"city": "LAKE ORION",
"state": "MI",
"postal_code": "483591612",
"telephone_number": "248-391-3500"
}
],
"practiceLocations": [
{
"address_1": "2509 Waldon Rd",
"address_purpose": "LOCATION",
"city": "Lake Orion",
"state": "MI",
"postal_code": "483601747",
"country_code": "US",
"telephone_number": "248-391-1100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLTON",
"first_name": "KERRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-24",
"last_updated": "2026-09-24",
"certification_date": "2026-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101009583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Orion, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.