Michael Vanhouton Niemi

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 6591 Issued in FL

Practice address

275 Atlantic Dr
Melbourne Beach, FL 32951-3228

Phone

(321) 725-6457

NPI assigned

Jul 9, 2010

Last updated

Jul 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1194037861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 ATLANTIC DR",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329513228",
            "telephone_number": "321-725-6457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ATLANTIC DR",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329513228",
            "telephone_number": "321-725-6457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMI",
        "first_name": "MICHAEL",
        "middle_name": "VANHOUTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Melbourne Beach, FL
• Providers in Melbourne Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.