KAITLIN PODDAM
NPI 1861342396
Speech-Language Pathologist in Monroe, MI

Active since February 03, 2026
811 N MACOMB ST, MONROE, MI 48162(419) 482-8647(734) 597-2018 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaitlin Poddam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLIN PODDAM (NPI 1861342396) is an individual speech-language pathologist provider in Monroe, Michigan, licensed in Michigan (7101006856) and active in the NPI registry since February 2026. The provider is a graduate of Other (2016).

NPPES Registry Identity

NPI1861342396
Entity TypeIndividual
Primary Taxonomy235Z00000X
Provider Legal NameKAITLIN PODDAM
Location Address811 N MACOMB STMonroe, MI 48162-2929
Mailing Address811 N Macomb StMonroe, MI 48162-2929 · (419) 482-8647 · Fax (734) 597-2018
Fax(734) 597-2018
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
NPI 1861342396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in MI · 7101006856
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
811 N MACOMB ST, Monroe, MI 48162

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kaitlin Poddam is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810476132
PECOS Enrollment IDI20260206003471

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
811 N MACOMB ST
MONROE, MI 48162
Speech-Language Pathologist
811 N MACOMB ST
MONROE, MI 48162
Prosthetic/Orthotic Supplier
811 N MACOMB ST
MONROE, MI 48162
Pharmacist
811 N MACOMB ST
MONROE, MI 48162
Family Medicine
811 N MACOMB ST
MONROE, MI 48162
Speech-Language Pathologist
811 N MACOMB ST
MONROE, MI 48162
Family Medicine
811 N MACOMB ST
MONROE, MI 48162

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlin Poddam's NPI number?

The NPI number for Kaitlin Poddam is 1861342396. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Kaitlin Poddam located?

Kaitlin Poddam practices at 811 N Macomb St, Monroe, MI 48162. The listed phone number is (419) 482-8647.

What is Kaitlin Poddam's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kaitlin Poddam enrolled in Medicare?

Yes. Kaitlin Poddam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlin Poddam was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.