Sunrise Bay Speech and Language Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000702 Issued in MI

Legal business name

SUNRISE BAY SPEECH AND LANGUAGE THERAPY

Practice address

4191 N Euclid Ave Ste 100
Bay City, MI 48706-2408

Phone

(989) 482-8312

NPI assigned

May 22, 2018

Last updated

Apr 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Felice Craves, CCC-SLPNPI 1306376876

Title

Owner/Speech-Language Pathologist

Phone

(989) 482-8312

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristina Felice Craves, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Bay City, MI
  • NPI 1306376876

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1942791264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 S LINWOOD BEACH RD",
            "city": "LINWOOD",
            "state": "MI",
            "postal_code": "486349433",
            "telephone_number": "989-482-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 N EUCLID AVE STE 100",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062408",
            "telephone_number": "989-482-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE BAY SPEECH AND LANGUAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "CRAVES",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "FELICE",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "989-482-8312",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Bay City, MI
• Providers in Bay City, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.