Individual provider Active NPI

Michael-Jean Zinni, CCC-SLP

  • Speech-Language Pathologist
  • Wake Forest, NC
National Provider Identifier
1417592882
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7514 Issued in LA
Practice address
3200 Kingsbridge CT
Wake Forest, NC 27587-5419
Phone
(385) 645-4757
NPI assigned
Nov 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP36503 CA
Speech-Language Pathologist 235Z00000X 7514 LA Primary
Speech-Language Pathologist 235Z00000X SLP.0005440 CO
Speech-Language Pathologist 235Z00000X 14218 NC

Addresses

Primary practice location

3200 Kingsbridge CT
Wake Forest, NC 27587-5419

Mailing address

3200 Kingsbridge CT
Wake Forest, NC 27587-5419
Phone (385) 645-4757

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

State licenses

LicenseStateTypeSpecialty
7514LAMDCase Manager/Care Coordinator
SP36503CAMDSpeech-Language Pathologist
SLP.0005440COMDSpeech-Language Pathologist
14218NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1417592882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 KINGSBRIDGE CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875419",
            "telephone_number": "385-645-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 KINGSBRIDGE CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875419",
            "telephone_number": "385-645-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINNI",
        "first_name": "MICHAEL-JEAN",
        "name_prefix": "Mr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-08",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP36503",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "7514",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0005440",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14218",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.