Michelle Diconcilio, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6315 Issued in NC

Practice address

2415 Sunnyfield CT
Hillsborough, NC 27278-9380

Phone

(919) 704-4047

Fax

(919) 537-8093

NPI assigned

Jan 26, 2007

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

Other identifiers 1

Other names 1

• Michelle Spillers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Small World Therapy P.a.

  • Speech-Language Pathologist
  • Graham, NC
  • NPI 1558668996
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1275689796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 LOGANBERRY CT",
            "city": "EFLAND",
            "state": "NC",
            "postal_code": "272438908",
            "telephone_number": "919-740-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 SUNNYFIELD CT",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272789380",
            "telephone_number": "919-704-4047",
            "fax_number": "919-537-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICONCILIO",
        "first_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "6315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412161",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "SPILLERS",
            "credential": "MED.CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Davia Nickelson DDS PLLC
• Michael Debartolo, DC
• Heather Lannette Dellinger, APRN, WHNP-BC
• Suzanne Derby
• Cynthia Diaz
• Rachel Schryer Dirito
• Angela Dix, PTA
• DM Optical
• Andrew Paul Dockery, LCMHCA
• Dogwood Psychology Center for Children and Families

• Speech-Language Pathologist in Hillsborough, NC
• Providers in Hillsborough, 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 16, 2015; 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.