Individual provider Active NPI

Michelle Yvonne Pineda, MS CCC-SLP

  • Speech-Language Pathologist
  • Brownsville, TX
National Provider Identifier
1104305226
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
107791 Issued in TX
Practice address
871 Old Alice Rd Ste 100
Brownsville, TX 78520-8269
Phone
(956) 459-4758
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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 107791 TX Primary

Addresses

Primary practice location

871 Old Alice Rd Ste 100
Brownsville, TX 78520-8269

Mailing address

1406 Tamarack Dr
Brownsville, TX 78520-9251
Phone (956) 459-4758

Other practice location 1

613 W Sesame Dr
Harlingen, TX 78550-7930
Phone (956) 399-4500

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

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1104305226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 TAMARACK DR",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209251",
            "telephone_number": "956-459-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 OLD ALICE RD STE 100",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208269",
            "telephone_number": "956-459-4758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 W Sesame Dr",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785507930",
            "country_code": "US",
            "telephone_number": "956-399-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "MICHELLE",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107791",
            "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 Feb 26, 2019; 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.