Michelle Montelibano, M.S., CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5163 Issued in MN

Practice address

521 West 7TH St.
Saint Paul, MN 55102

Phone

(651) 225-4558

NPI assigned

Apr 20, 2007

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 MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Associated Speech and Language Specialists LLC

  • Speech-Language Pathologist
  • St Paul, MN
  • NPI 1881636223
  Medicare reassignment
• Associated Speech and Language

  • Hearing and Speech Clinic/Center
  • Arden Hills, MN
  • NPI 1003188749
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003033879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1548 STEPHANIE CIRCLE",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "55121",
            "telephone_number": "651-452-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 WEST 7TH ST.",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55102",
            "telephone_number": "651-225-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELIBANO",
        "first_name": "MICHELLE",
        "credential": "M.S., CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "5163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Montag Schafer, PHARMD
• Jonathon Montag, PHARMD
• Rebecca Montanari
• Tammy Theresa Montanye, RN, BSN
• Katherine Ann Montealegre, OD
• Joseph Alexander Montgomery
• Piyanud A Montgomery
• Gerald L Montie, MD
• Walter Montpetit
• Autumn Montville, MD

• Speech-Language Pathologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.