Individual provider Active NPI

Michele Anne Spencer, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Bellevue, WA
National Provider Identifier
1386981959
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
LL 60232176 Issued in WA
Practice address
14715 Bel Red Rd
BLDG. G - Suite 103
Bellevue, WA 98007-3940
Phone
(425) 502-9440
NPI assigned
Jan 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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 LL 60232176 WA Primary

Addresses

Primary practice location

14715 Bel Red Rd
BLDG. G - Suite 103
Bellevue, WA 98007-3940

Mailing address

19713 NE 160TH PL
Woodinville, WA 98077-9448
Phone (425) 788-7403

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
LL 60232176WAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Celebrate Speech and Language Therapy LLC Speech-Language Pathologist CurrentSince May 3, 2020 Accepting new patients

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": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1386981959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19713 NE 160TH PL",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980779448",
            "telephone_number": "425-788-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14715 BEL RED RD",
            "address_2": "BLDG. G - SUITE 103",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073940",
            "telephone_number": "425-502-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MICHELE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 60232176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.