Mikayla Sandusky, MS CF SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30003363 Issued in NC

Practice address

370 Folkstone Rd
Holly Ridge, NC 28445-7548

Phone

(910) 455-2448

NPI assigned

Oct 12, 2024

Last updated

Oct 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1728691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1255151452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 IVES DR",
            "city": "HOT SPRINGS NATIONAL PARK",
            "state": "AR",
            "postal_code": "719139837",
            "telephone_number": "870-818-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 FOLKSTONE RD",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284457548",
            "telephone_number": "910-455-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDUSKY",
        "first_name": "MIKAYLA",
        "credential": "MS CF SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-12",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30003363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riccobene & Associates I, DDS, P.a. (Riccobene Associates Family Dentistry- Holly Ridge)
• Gail Lenora Robinson, F.N.P.-BC
• Angela Rogers
• Marissa Rumsey, MOTR/L
• Saltwater Speech Therapy, PC
• Janelle Marie Sirois, COTA/L
• South Whiteville Urgent Care & Family Practice PA
• Kaitlyn Spitler, OTD, OTR/L
• Lori Lynn Stephens
• Daniel Stous II

• Speech-Language Pathologist in Holly Ridge, NC
• Providers in Holly Ridge, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.