Individual provider Active NPI

Michol Wimberly, SLP

  • Speech-Language Pathologist
  • Florida City, FL
National Provider Identifier
1306487897
Registry record updated Oct 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ9371 Issued in FL
Practice address
1380 N Krome Ave Ste 110
Florida City, FL 33034-2406
Phone
(305) 247-4464
NPI assigned
Oct 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2019

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 SZ9371 FL Primary

Addresses

Primary practice location

1380 N Krome Ave Ste 110
Florida City, FL 33034-2406

Mailing address

3413 Percival Ave
Miami, FL 33133-5040
Phone (786) 246-2923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SZ9371FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blooming Buds Therapy Services, Inc. Speech-Language Pathologist Current Accepting new patients
Dream Therapy Services, Inc. Speech-Language Pathologist Current Accepting new patients
Multi-Lingual Speech Group, Inc. Speech-Language Pathologist PastSince Oct 13, 2019 Accepting new patients
Learn With Therapy, Inc. Speech-Language Pathologist PastSince Oct 13, 2019 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570233600000",
    "number": "1306487897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 PERCIVAL AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331335040",
            "telephone_number": "786-246-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 N KROME AVE STE 110",
            "city": "FLORIDA CITY",
            "state": "FL",
            "postal_code": "330342406",
            "telephone_number": "305-247-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMBERLY",
        "first_name": "MICHOL",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-05",
        "last_updated": "2019-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florida City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2019; 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.