Individual provider Active NPI

Michelle Lynn Toalson, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Jefferson City, MO
National Provider Identifier
1093869331
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110411 Issued in MO
Practice address
1115 Fairgrounds Rd
Jefferson City, MO 65109-5443
Phone
(573) 634-3070
Fax
(573) 636-3247
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 110411 MO Primary

Addresses

Primary practice location

1115 Fairgrounds Rd
Jefferson City, MO 65109-5443

Mailing address

1904 Chicago Rd
Jefferson City, MO 65109-1223
Phone (573) 659-8134

Other names 1

  • Miss Michelle Lynn Lipman Former name

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 Arts

State licenses

LicenseStateTypeSpecialty
110411MOMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093869331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 CHICAGO RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091223",
            "telephone_number": "573-659-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 FAIRGROUNDS RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095443",
            "telephone_number": "573-634-3070",
            "fax_number": "573-636-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOALSON",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "110411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LIPMAN",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.