Individual provider Active NPI

Michell M Baldwin, SLP

  • Speech-Language Pathologist
  • Greenville, NC
National Provider Identifier
1346355898
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2646 Issued in NC
Practice address
1330 E Arlington Blvd
Suite a
Greenville, NC 27858-7850
Phone
(252) 758-7048
Fax
(252) 215-5614
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 2646 NC Primary

Addresses

Primary practice location

1330 E Arlington Blvd
Suite a
Greenville, NC 27858-7850

Mailing address

1330 E Arlington Blvd
Suite a
Greenville, NC 27858-7850
Phone (252) 758-7048

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240607001656 NC Practitioner - Qualified Speech Language Pathologist 5991247769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetic Phys Therapy and Wellness IncGroup PAC ID 5496879256, 23 clinicians

Practice addresses (Care Compare)

1540 E Arlington Blvd
Greenville, NC 27858-5870
Phone (252) 364-2806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2646NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Phys Therapy and Wellness Inc CurrentSince May 28, 2024 Accepting new patients

Locations

1540 E Arlington Blvd
Greenville, NC 27858
Phone (252) 364-2806

1330 E Arlington Blvd
Ste A
Greenville, NC 27858
Phone (252) 318-7552

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346355898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E ARLINGTON BLVD",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278587850",
            "telephone_number": "252-758-7048",
            "fax_number": "252-215-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E ARLINGTON BLVD",
            "address_2": "SUITE A",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278587850",
            "telephone_number": "252-758-7048",
            "fax_number": "252-215-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "MICHELL",
        "middle_name": "M",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "2646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.