Individual provider Active NPI

Michelle Hanks, CCC-SLP

  • Speech-Language Pathologist
  • Birmingham, AL
National Provider Identifier
1144025453
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5215 Issued in AL
Practice address
1976 Gadsden Hwy Ste 208
Birmingham, AL 35235-3266
Phone
(205) 202-1239
Fax
(205) 719-4037
NPI assigned
Feb 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 5215 AL Primary

Addresses

Primary practice location

1976 Gadsden Hwy Ste 208
Birmingham, AL 35235-3266

Mailing address

101 Cahaba Forest Dr
Trussville, AL 35173-2083
Phone (256) 283-1891

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

State licenses

LicenseStateTypeSpecialty
5215ALMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Divergent Therapy Services LLC Speech-Language Pathologist CurrentSince Feb 23, 2025 Accepting new patients

Locations

1976 Gadsden Hwy
Ste 208
Birmingham, AL 35235
Phone (205) 202-1239

Organizations & group practices 1

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": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1144025453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CAHABA FOREST DR",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732083",
            "telephone_number": "256-283-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 GADSDEN HWY STE 208",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353266",
            "telephone_number": "205-202-1239",
            "fax_number": "205-719-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "MICHELLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "5215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.