Individual provider Active NPI

Michele Alegre, SLP-CCC

  • Speech-Language Pathologist
  • Heber City, UT
National Provider Identifier
1306852264
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
56450924102 Issued in UT
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

Updated by the provider on Jul 9, 2007

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 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

IdentifierTypeStateIssuer
107041932101OtherUTIHC SELECTHEALTH
87602OtherUTPEHP
926805OtherUTDMBA
D6188MedicaidUT

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
56450924102UTMDSpeech-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.

Verify at the official NPI Registry.