Individual provider Active NPI

Amy Joy Schultz, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Jenison, MI
National Provider Identifier
1891578746
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101009061 Issued in MI
Practice address
7086 8TH Ave
Jenison, MI 49428-9352
Phone
(616) 667-9551
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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 7101009061 MI Primary

Addresses

Primary practice location

7086 8TH Ave
Jenison, MI 49428-9352

Mailing address

7086 8TH Ave
Jenison, MI 49428-9352
Phone (616) 667-9551

Other practice location 1

355 Settlers Rd # 1C
Holland, MI 49423-3704
Phone (616) 667-9551

Other names 1

  • Ms. Amy Joy Lanser Former name

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

State licenses

LicenseStateTypeSpecialty
7101009061MIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1891578746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7086 8TH AVE",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289352",
            "telephone_number": "616-667-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7086 8TH AVE",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289352",
            "telephone_number": "616-667-9551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Settlers Rd # 1C",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494233704",
            "country_code": "US",
            "telephone_number": "616-667-9551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "AMY",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101009061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LANSER",
            "middle_name": "JOY",
            "prefix": "MS.",
            "credential": "M.A., CF-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.