Individual provider Active NPI

Michelle Marie Dorsey

  • Speech-Language Pathologist
  • Scottsdale, AZ
National Provider Identifier
1235566027
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP8550 Issued in AZ
Practice address
24852 North 87TH Way
Scottsdale, AZ 85255
Phone
(509) 953-3703
NPI assigned
Oct 11, 2013
Last updated
Nov 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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 TSLP8550 AZ Primary

Addresses

Primary practice location

24852 North 87TH Way
Scottsdale, AZ 85255

Mailing address

24852 North 87TH Way
Scottsdale, AZ 85255
Phone (509) 953-3703

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210405001546 AZ Practitioner - Qualified Speech Language Pathologist 5597172700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amy Grulke PLLCGroup PAC ID 4284992538, 9 clinicians

Practice addresses (Care Compare)

2248 N Alma School Rd
Suite 102
Chandler, AZ 85224-2488
Phone (480) 935-0614

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TSLP8550AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Grulke, PLLC Speech-Language Pathologist CurrentSince Jan 1, 2021 Accepting new patients

Locations

2248 N Alma School Rd
Chandler, AZ 85224

2248 N Alma School Rd
Ste 102
Chandler, AZ 85224
Phone (480) 899-9484

2950 N Dobson Rd
Ste 3
Chandler, AZ 85224
Phone 4809350614407

3200 N Dobson Rd
Bldg E
Chandler, AZ 85224

5750 W Thunderbird Rd
Ste E500
Glendale, AZ 85306
Phone (602) 938-6960

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, 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": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1235566027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24852 NORTH 87TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "509-953-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24852 NORTH 87TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85255",
            "telephone_number": "509-953-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP8550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.