Individual provider Active NPI

Michelle Gifford, MA, CCC SLP

  • Speech-Language Pathologist
  • Spokane, WA
National Provider Identifier
1346660909
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL00002024 Issued in WA
Practice address
310 N Riverpoint Blvd
Box V
Spokane, WA 99202-1610
Phone
(509) 828-1324
Fax
(509) 368-6890
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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 LL00002024 WA Primary

Addresses

Primary practice location

310 N Riverpoint Blvd
Box V
Spokane, WA 99202-1610

Mailing address

310 N Riverpoint Blvd
Box V
Spokane, WA 99202-1610
Phone (509) 828-1324

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 Arts

State licenses

LicenseStateTypeSpecialty
LL00002024WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Washington University Hearing and Speech Speech-Language Pathologist Past Accepting new patients
Spokane Hearing-Oral Program of Excellence Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1346660909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N RIVERPOINT BLVD",
            "address_2": "BOX V",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021610",
            "telephone_number": "509-828-1324",
            "fax_number": "509-368-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N RIVERPOINT BLVD",
            "address_2": "BOX V",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021610",
            "telephone_number": "509-828-1324",
            "fax_number": "509-368-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIFFORD",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MA, CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.