Individual provider Active NPI

Michelle M. Raymond, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Grand Junction, CO
National Provider Identifier
1225415813
Registry record updated May 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0001899 Issued in CO
Practice address
503 Rado Dr
Unit 4
Grand Junction, CO 81507-8727
Phone
(603) 205-1232
NPI assigned
May 3, 2015
Last updated
May 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2015

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 0001899 CO Primary

Addresses

Primary practice location

503 Rado Dr
Unit 4
Grand Junction, CO 81507-8727

Mailing address

503 Rado Dr
Unit 4
Grand Junction, CO 81507-8727
Phone (603) 205-1232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230609001499 AZ Practitioner - Qualified Speech Language Pathologist 9739546516 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0001899COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona University Speech-Language Pathologist CurrentSince May 30, 2023 Accepting new patients
Az BD of Regents for on Behalf of Northern Az University CurrentSince May 30, 2023 Accepting new patients
Northern Arizona University Current Accepting new patients

Locations

208 E Pne Knl Dr
Flagstaff, AZ 86011
Phone (928) 523-5122

912 Riordan Rd
Flagstaff, AZ 86011
Phone (928) 523-1695

912 Riordan Rd
Bldg 27 A
Flagstaff, AZ 86011
Phone (928) 523-6773

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1430611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430611200000",
    "number": "1225415813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 RADO DR",
            "address_2": "UNIT 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815078727",
            "telephone_number": "603-205-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 RADO DR",
            "address_2": "UNIT 4",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815078727",
            "telephone_number": "603-205-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "MICHELLE",
        "middle_name": "M.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-03",
        "last_updated": "2015-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0001899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2015; 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.