Michelle Harrison

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

30001907 Issued in NC

Practice address

3041 Berks Way Ste 203
Raleigh, NC 27614-6777

Phone

(919) 488-4009

NPI assigned

Apr 8, 2021

Last updated

Jun 12, 2023By 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 2

Addresses

Other identifiers 3

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holly Lamb, PLLC

  dba Raleigh Primary Pediatric Speech Therapy

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1891459939

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1447830021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HARBOUR PLACE DR UNIT 1910",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336026807",
            "telephone_number": "201-264-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 BERKS WAY STE 203",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146777",
            "telephone_number": "919-488-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 International Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hunt Valley",
            "state": "MD",
            "postal_code": "210301387",
            "country_code": "US",
            "telephone_number": "224-616-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "8757",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30001907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "1447830021",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH LANGUAGE PATHOLOGIST",
            "identifier": "1447830021",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "SA17923",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tampa",
            "affiliation": "Y",
            "endpointDescription": "Speak Easy Pediatrics",
            "affiliationName": "Speak Easy Pediatrics",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Speak Easy Pediatrics",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "138 16th Ave N",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337044513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.healthpro-heritage.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "307 International Cir Ste 100",
            "city": "Hunt Valley",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210301387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly L Harrison, MACC
• Kimberly Jean Harrison, CSAC
• Lainey Elizabeth Harrison, RBT
• Lori Lolita Harrison, LCSW
• Michael James Harrison, DDS
• Myleme Ojina Harrison, M.D.
• Nicole Harrison, PMHNP-BC
• Paige Harrison
• Stacie Harrison, RDN
• Sarah Harrocks, MSW, LCSW

• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.