Micaela Gurka

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

COND.20242863-SP Issued in OH

Practice address

4710 Timber Trail Dr
Middletown, OH 45044-5349

Phone

(513) 423-9496

NPI assigned

Aug 12, 2024

Last updated

Aug 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

Enrolled in OH

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

University of Cincinnati College of Medicine, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Big Blue Canopy LLC

  • Physical Therapist
  • Blue Ash, OH
  • NPI 1548820772
  Medicare reassignment NPD
• Abilities First

  • Specialist
  • Middletown, OH
  • NPI 1437202330
  NPD (past)
• Abilities First

  • Intellectual Disabilities Intermediate Care Facility
  • Middletown, OH
  • NPI 1629295167
  NPD (past)

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1295566222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MAPLEWOOD AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192717",
            "telephone_number": "440-567-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 TIMBER TRAIL DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445349",
            "telephone_number": "513-423-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURKA",
        "first_name": "MICAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.20242863-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Susan Grote, MA CCC-SLP
• Grupenhof Enterprises, LLC (Elite Audiology)
• Chandra Grupenhof, AU.D.
• Karen Guo, OT
• Sandeep Gupta, M.D.
• Vanessa Sharde Guy
• Paul Gyorgyfi, ARNP-CNP
• Susan Haag, LPC
• Daryl Christopher Hacker, M.D.
• Tracey Lynn Haddix

• Speech-Language Pathologist in Middletown, OH
• Providers in Middletown, OH by specialty
• Speech-Language Pathologist in Ohio

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