Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Ida Tenuta

Individual provider Speech-Language Pathologist · NPI 1174302384

Michelle Ida Tenuta is a Qualified Speech Language Pathologist in Lake Geneva, Wisconsin. Qualified in 2023, 3 years ago. Practices with Reliant Senior Living LLC, a 108-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023

Practice location Address checks out

N2950 State Road 67
Lake Geneva, WI 53147-2655
Phone: (262) 245-0535
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 6334154 (WI)

Record details

NPI number1174302384
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023
Mailing address2812 Lincoln Rd, Kenosha, WI 53143-5654

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Reliant Senior Living Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Geneva