Michael Trout, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

C-3849 Issued in NM

Practice address

2819 Richmond Dr NE
Albuquerque, NM 87107-1918

Phone

(505) 883-3787

Fax

(505) 830-0106

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Heartward Speech-Language Pathology, Inc.

  • Speech-Language Pathologist
  • Albuquerque, NM
  • NPI 1962597039
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053406975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 MICHELANGELO LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145016",
            "telephone_number": "505-269-5241",
            "fax_number": "505-830-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 RICHMOND DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071918",
            "telephone_number": "505-883-3787",
            "fax_number": "505-830-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUT",
        "first_name": "MICHAEL",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "C-3849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62682873",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE HEALTH PLAN",
            "identifier": "10026771",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTH CARE",
            "identifier": "QMYPR0072405",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryann Colby Trott
• Nicholas Dominick Trotta, PHARMD
• Alma Trotter
• Robin J Troup
• Christopher Trout, PT, DPT
• Cathrine Troy, MA, LPCC, LPAT ATR
• Maribeth Troyer, FNP-C
• Tru-Quality Design/Construction Inc.
• Trucare Dental Group
• Trucare Dental Wyoming Blvd LLC

• Speech-Language Pathologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.