Individual provider Active NPI

Michelle Quick, MS SLP

  • Speech-Language Pathologist
  • Navarre, FL
National Provider Identifier
1316423486
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
905 Issued in WY
Practice address
7552 Navarre Pkwy Unit 47
Navarre, FL 32566-7309
Phone
(850) 428-0665
Fax
(877) 215-7951
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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 905 WY Primary

Addresses

Primary practice location

7552 Navarre Pkwy Unit 47
Navarre, FL 32566-7309

Mailing address

415 W Moreno St
Pensacola, FL 32501-2033
Phone (850) 428-0665

Other practice location 1

151 Mary Esther Blvd Unit 504
Mary Esther, FL 32569-1976
Phone (850) 428-0665

Other identifiers 1

IdentifierTypeStateIssuer
905OtherWYSLP LICENSE

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
905WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Futures Speech Therapy Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1316423486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012033",
            "telephone_number": "850-428-0665",
            "fax_number": "877-215-7951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY UNIT 47",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667309",
            "telephone_number": "850-428-0665",
            "fax_number": "877-215-7951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Mary Esther Blvd Unit 504",
            "address_purpose": "LOCATION",
            "city": "Mary Esther",
            "state": "FL",
            "postal_code": "325691976",
            "country_code": "US",
            "telephone_number": "850-428-0665",
            "fax_number": "877-215-7951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUICK",
        "first_name": "MICHELLE",
        "credential": "MS SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP LICENSE",
            "identifier": "905",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.