Individual provider Active NPI

Michelle Lopez, SLP-CCC

  • Speech-Language Pathologist
  • Brownsville, TX
National Provider Identifier
1104098375
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103102 Issued in TX
Practice address
302 Kings Hwy Ste 208
Brownsville, TX 78521-4225
Phone
(956) 550-8200
Fax
(956) 550-8133
NPI assigned
Mar 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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 103102 TX Primary

Addresses

Primary practice location

302 Kings Hwy Ste 208
Brownsville, TX 78521-4225

Mailing address

729 N. 77 Sunshine Strip
Harlingen, TX 78550-8847
Phone (956) 421-4667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250709003702 TX Practitioner - Qualified Speech Language Pathologist 2668986704 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
103102TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dolphin Diagnostic Solutions LLC CurrentSince May 1, 2025 Accepting new patients
Valley Healing Hands LLC Speech-Language Pathologist CurrentSince May 1, 2025 Accepting new patients
Health Success PastSince Aug 13, 2012 Accepting new patients
Sion Kidz, LLC Speech-Language Pathologist Past Accepting new patients

Locations

1225 N Expressway
Ste 2A
Brownsville, TX 78520
Phone (956) 667-5050

234 N Expressway
#B
Brownsville, TX 78521
Phone (956) 667-5050

3475 W Alton Gloor Blvd
Ste D
Brownsville, TX 78520
Phone (956) 350-2143

234 N Expressway
Ste A
Brownsville, TX 78521

234 N Expressway
Ste B
Brownsville, TX 78521

234 N Expressway
#A
Brownsville, TX 78521
Phone (956) 667-5050

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1104098375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 N. 77 SUNSHINE STRIP",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508847",
            "telephone_number": "956-421-4667",
            "fax_number": "956-421-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KINGS HWY STE 208",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214225",
            "telephone_number": "956-550-8200",
            "fax_number": "956-550-8133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.