Active NPI
Michelle Denise Allen, M.S. CCC-SLP
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1063797181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA16340
- Practice address
- 3415 W Santiago St
Tampa, FL 33629-7977 - Phone
- (516) 286-9246
- NPI assigned
- Oct 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 19952 | CA | |
| Speech-Language Pathologist | 235Z00000X | SLP.0002176 | CO | |
| Speech-Language Pathologist | 235Z00000X | 023364 | NY | |
| Speech-Language Pathologist | 235Z00000X | SA16340 | FL | Primary |
Addresses
Primary practice location
3415 W Santiago St
Tampa, FL 33629-7977
Mailing address
1299 Birch St
Uniondale, NY 11553-2007
Phone (516) 286-9246
Other practice location 1
1299 Birch St
Uniondale, NY 11553-2007
Phone (516) 286-9246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101436400 | Medicaid | FL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP.0002176 | CO | MD | Speech-Language Pathologist |
| SA16340 | FL | MD | Speech-Language Pathologist |
| 023364 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544400000000",
"number": "1063797181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 BIRCH ST",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115532007",
"telephone_number": "516-286-9246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3415 W SANTIAGO ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336297977",
"telephone_number": "516-286-9246"
}
],
"practiceLocations": [
{
"address_1": "1299 Birch St",
"address_purpose": "LOCATION",
"city": "Uniondale",
"state": "NY",
"postal_code": "115532007",
"country_code": "US",
"telephone_number": "516-286-9246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "MICHELLE",
"middle_name": "DENISE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-20",
"last_updated": "2018-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "19952",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0002176",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "023364",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA16340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101436400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.