Micha Morgan Lange, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#P7961 Issued in AR

Practice address

3100 Apache Dr
Jonesboro, AR 72401-7404

Phone

(870) 336-0238

Fax

(870) 336-0239

NPI assigned

Mar 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Micha Morgan Lamberson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• First Step Arkansas, LLC

  • Early Intervention Provider Agency
  • Jonesboro, AR
  • NPI 1164957080
  NPD (past)

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1093832867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 APACHE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017404",
            "telephone_number": "870-336-0238",
            "fax_number": "870-336-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 APACHE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017404",
            "telephone_number": "870-336-0238",
            "fax_number": "870-336-0239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8023 Interstate 30",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722094841",
            "country_code": "US",
            "telephone_number": "501-374-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGE",
        "first_name": "MICHA",
        "middle_name": "MORGAN",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#P7961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158949721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY",
            "identifier": "5A060",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHA",
            "last_name": "LAMBERSON",
            "middle_name": "MORGAN",
            "credential": "SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Haley Lane
• Stephanie Lane
• Taylor Brieanne Lane, MHPP
• Anner Lanes
• Alexander Scott Lang
• Jaime Langhans, OTA
• Language Connections, Inc.
• Bryan K Lansford, MD
• Megan Lansford, OTA
• Mario L Lark

• Speech-Language Pathologist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.