Michelle Lee Suggs, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

105029 Issued in TX

Practice address

800 Claycourt Cir
Fort Worth, TX 76120-2804

Phone

(817) 986-8901

NPI assigned

Dec 29, 2014

Last updated

Dec 29, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1447648423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CLAYCOURT CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202804",
            "telephone_number": "817-986-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 CLAYCOURT CIR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761202804",
            "telephone_number": "817-986-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGGS",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joachim Albert Sulfrian Jr., LCDC

• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.