Individual provider Active NPI

Michele R Silva, M.S., CCC/SLP

  • Speech-Language Pathologist
  • Lake Luzerne, NY
National Provider Identifier
1205110939
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
000-858-1 Issued in NY
Practice address
27 Hyland Drive
Stuart M. Townsend Middle School
Lake Luzerne, NY 12846-0200
Phone
(518) 696-2378
Fax
(518) 696-2485
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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 000-858-1 NY Primary

Addresses

Primary practice location

27 Hyland Drive
Stuart M. Townsend Middle School
Lake Luzerne, NY 12846-0200

Mailing address

PO Box 200
Hadley-Luzerne Central School
Lake Luzerne, NY 12846-0200
Phone (518) 696-2378

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

State licenses

LicenseStateTypeSpecialty
000-858-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317254400000",
    "number": "1205110939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200",
            "address_2": "HADLEY-LUZERNE CENTRAL SCHOOL",
            "city": "LAKE LUZERNE",
            "state": "NY",
            "postal_code": "128460200",
            "telephone_number": "518-696-2378",
            "fax_number": "518-696-2485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 HYLAND DRIVE",
            "address_2": "STUART M. TOWNSEND MIDDLE SCHOOL",
            "city": "LAKE LUZERNE",
            "state": "NY",
            "postal_code": "128460200",
            "telephone_number": "518-696-2378",
            "fax_number": "518-696-2485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "MICHELE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "000-858-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Luzerne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.