Individual provider Active NPI

Laura Michie, SLP

  • Speech-Language Pathologist
  • Frederick, MD
National Provider Identifier
1316947252
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01642 Issued in MD
Practice address
10 N Jefferson St
Ste 304
Frederick, MD 21701-4866
Phone
(301) 668-1852
Fax
(301) 668-1854
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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 01642 MD Primary

Addresses

Primary practice location

10 N Jefferson St
Ste 304
Frederick, MD 21701-4866

Mailing address

10 N Jefferson St
Ste 304
Frederick, MD 21701-4866
Phone (301) 471-3169

Other identifiers 6

IdentifierTypeStateIssuer
5060511OtherAETNA NON HMO
510BDO-81032101OtherMDCAREFIRST BLUECROSS
273799OtherMAMSI
T615-0005OtherDCCAREFIRST BLUECHOICE
216682996OtherTRICARE
2118118OtherAETNA HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121217000229 MD Practitioner - Qualified Speech Language Pathologist 1951553155 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 N Jefferson St
Suite 403
Frederick, MD 21701-4823
Phone (301) 471-3169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laura a Michie CCC SLP Speech-Language Pathologist Current Accepting new patients

Locations

10 N Jefferson St
Ste 403
Frederick, MD 21701
Phone (301) 620-8700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1316947252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N JEFFERSON ST",
            "address_2": "STE 304",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014866",
            "telephone_number": "301-471-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N JEFFERSON ST",
            "address_2": "STE 304",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014866",
            "telephone_number": "301-668-1852",
            "fax_number": "301-668-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHIE",
        "first_name": "LAURA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "5060511",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS",
            "identifier": "510BDO-81032101",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "273799",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECHOICE",
            "identifier": "T615-0005",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "216682996",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2118118",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.