Anna Stankovich Dubiak

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101007455 Issued in MI

Practice address

2450 44TH St SE Ste 201
Kentwood, MI 49512-9081

Phone

(616) 528-0870

Fax

(616) 591-5684

NPI assigned

Nov 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Duncan Lake Speech Therapy, LLC

  • Speech-Language Pathologist
  • Kentwood, MI
  • NPI 1376195925
  Medicare reassignment NPD
• Duncan Lake Speech Therapy, LLC

  • Mental Health Counselor
  • Kentwood, MI
  • NPI 1316827066
  NPD

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1992460489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 LILAC CT NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 44TH ST SE STE 201",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495129081",
            "telephone_number": "616-528-0870",
            "fax_number": "616-591-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBIAK",
        "first_name": "ANNA",
        "middle_name": "STANKOVICH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101007455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Douglas
• Dr. Gary W. Mancewicz DDS
• Dream Big Dental, PLLC
• Cory Jon Driesenga, RPH
• DRS May and Mallory DDS PC
• Duncan Lake Speech Therapy, LLC
• Duncan Lake Speech Therapy, LLC
• Mya Charity Eason
• East Paris Dental Professionals, PLC
• Brenna Egan

• Speech-Language Pathologist in Kentwood, MI
• Providers in Kentwood, 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 Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.