Individual provider Active NPI

Kristi Kay Leveille

  • Speech-Language Pathologist
  • Saginaw, MI
National Provider Identifier
1881031763
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101006179 Issued in MI
Practice address
6161 State St
Saginaw, MI 48603-3426
Phone
(480) 299-3242
NPI assigned
May 31, 2013
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA8309 AZ
Speech-Language Pathologist 235Z00000X 7101006179 MI Primary

Addresses

Primary practice location

6161 State St
Saginaw, MI 48603-3426

Mailing address

6161 State St
Saginaw, MI 48603-3426
Phone (480) 299-3242

Other practice location 1

16815 S Desert Foothills Pkwy
Suite 126
Phoenix, AZ 85048-8401
Phone (480) 299-3242

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SLPA8309AZMDSpeech-Language Assistant
7101006179MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1881031763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033426",
            "telephone_number": "480-299-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033426",
            "telephone_number": "480-299-3242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16815 S Desert Foothills Pkwy",
            "address_2": "Suite 126",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850488401",
            "country_code": "US",
            "telephone_number": "480-299-3242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVEILLE",
        "first_name": "KRISTI",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-31",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA8309",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101006179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.