Individual provider Active NPI

Michelle Ortiz Phillips, MS

  • Speech-Language Pathologist
  • New Port Richey, FL
National Provider Identifier
1356710289
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ7354 Issued in FL
Practice address
7657 Cita LN
New Port Richey, FL 34653-6221
Phone
(727) 376-1111
Fax
(727) 376-1113
NPI assigned
Sep 22, 2015
Last updated
Sep 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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 SZ7354 FL Primary

Addresses

Primary practice location

7657 Cita LN
New Port Richey, FL 34653-6221

Mailing address

7657 Cita LN
New Port Richey, FL 34653-6221
Phone (727) 376-1111

Other identifiers 1

IdentifierTypeStateIssuer
SZ7354OtherFLLICENSURE FROM FL DEPT OF HEALTH

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1356710289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7657 CITA LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536221",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7657 CITA LN",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346536221",
            "telephone_number": "727-376-1111",
            "fax_number": "727-376-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MICHELLE",
        "middle_name": "ORTIZ",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ7354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE FROM FL DEPT OF HEALTH",
            "identifier": "SZ7354",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.