Individual provider Active NPI

Yvonne Michelle Michaud, MS CCCSLP

  • Speech-Language Pathologist
  • Springvale, ME
National Provider Identifier
1366653180
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
469 Main St Ste 102
Springvale, ME 04083-1870
Phone
(207) 324-2888
NPI assigned
May 24, 2007
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 NU Primary

Addresses

Primary practice location

469 Main St Ste 102
Springvale, ME 04083-1870

Mailing address

469 Main St Ste 102
Springvale, ME 04083-1870
Phone (207) 324-2888

Other practice location 1

1280 Main St
Sanford, ME 04073-3631
Phone (207) 324-2888

Other practice location 2

469 Main St Ste 102
Springvale, ME 04083-1870
Phone (207) 324-2888

Other identifiers 1

IdentifierTypeStateIssuer
ME265678OtherMELICENSURE

Other names 1

  • Yvonne Michelle Penney Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1366653180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 MAIN ST STE 102",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831870",
            "telephone_number": "207-324-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 MAIN ST STE 102",
            "city": "SPRINGVALE",
            "state": "ME",
            "postal_code": "040831870",
            "telephone_number": "207-324-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 Main St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "ME",
            "postal_code": "040733631",
            "country_code": "US",
            "telephone_number": "207-324-2888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "469 Main St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Springvale",
            "state": "ME",
            "postal_code": "040831870",
            "country_code": "US",
            "telephone_number": "207-324-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHAUD",
        "first_name": "YVONNE",
        "middle_name": "MICHELLE",
        "credential": "MS CCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "ME265678",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "PENNEY",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springvale, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.