Active NPI
Michelle Stephanie Messemer, MEDCCCSLP
- Speech-Language Pathologist
- New Fairfield, CT
National Provider Identifier
1013244912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 007044-1
- Practice address
- 11 Brush Dr
New Fairfield, CT 06812-2616 - Phone
- (203) 546-8720
- NPI assigned
- Nov 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 007044-1 | NY | Primary |
Addresses
Primary practice location
11 Brush Dr
New Fairfield, CT 06812-2616
Mailing address
11 Brush Dr
New Fairfield, CT 06812-2616
Phone (203) 546-8720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007044-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1013244912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BRUSH DR",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068122616",
"telephone_number": "203-546-8720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 BRUSH DR",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068122616",
"telephone_number": "203-546-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSEMER",
"first_name": "MICHELLE",
"middle_name": "STEPHANIE",
"name_prefix": "Ms.",
"credential": "MEDCCCSLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-13",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "007044-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.