Michelle Lyn Gutmann, PH.D., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22006113A Issued in IN

Practice address

715 Clinic Dr
West Lafayette, IN 47907-2122

Phone

(765) 494-3789

NPI assigned

May 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trustees of Purdue UniversityGroup PAC ID 2567373012, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Trustees of Purdue University

  • Hearing and Speech Clinic/Center
  • West Lafayette, IN
  • NPI 1619055712
  Medicare reassignment Care Compare group NPD
• Trustees of Purdue University

  • Federally Qualified Health Center (FQHC)
  • Wolcott, IN
  • NPI 1598111791
  NPD

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1447817259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CLINIC DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072122",
            "telephone_number": "765-494-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CLINIC DR",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479072122",
            "telephone_number": "765-494-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTMANN",
        "first_name": "MICHELLE",
        "middle_name": "LYN",
        "credential": "PH.D., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22006113A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mgutmann@purdue.edu",
            "affiliation": "N",
            "address_1": "715 Clinic Dr",
            "city": "West Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479072122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Marie Grubbs, PTA
• Anna Guarisco
• Hope L Gulker, MA MSW
• Hallie Gust
• Amanda Guthrie, LMHC
• Michelle Guzman- Zarate, RBT
• R. Deborah Gwin, PHARMD
• Bethany Hainje, PTA
• Trenton Andrew Halcomb, COTA
• Rhoberta Jones Haley, NP

• Speech-Language Pathologist in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.