Active NPI
Michele Alegre, SLP-CCC
- Speech-Language Pathologist
- Heber City, UT
National Provider Identifier
1306852264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 56450924102
- Practice address
- 380 E 1500 S
Heber City, UT 84032-3940 - Phone
- (435) 654-5607
- Fax
- (435) 654-2602
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 56450924102 | UT | Primary |
Addresses
Primary practice location
380 E 1500 S
Heber City, UT 84032-3940
Mailing address
380 E 1500 S
Heber City, UT 84032-3940
Phone (435) 654-5607
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107041932101 | Other | UT | IHC SELECTHEALTH |
| 87602 | Other | UT | PEHP |
| 926805 | Other | UT | DMBA |
| D6188 | Medicaid | UT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 56450924102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1306852264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 E 1500 S",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840323940",
"telephone_number": "435-654-5607",
"fax_number": "435-654-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 E 1500 S",
"city": "HEBER CITY",
"state": "UT",
"postal_code": "840323940",
"telephone_number": "435-654-5607",
"fax_number": "435-654-2602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEGRE",
"first_name": "MICHELE",
"credential": "SLP-CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "56450924102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHC SELECTHEALTH",
"identifier": "107041932101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "87602",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMBA",
"identifier": "926805",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D6188",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Heber City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.