Active NPI
Michelle Cameron, M.S., CCC-SLP
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1467904201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA15264
- Practice address
- 13000 Bruce B Downs Blvd
Asp 126
Tampa, FL 33612 - Phone
- (813) 972-2000
- NPI assigned
- Oct 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA15264 | FL | Primary |
| Speech-Language Pathologist | 235Z00000X | 146013485 | IL |
Addresses
Primary practice location
13000 Bruce B Downs Blvd
Asp 126
Tampa, FL 33612
Mailing address
13000 Bruce B Downs Blvd
Asp 126
Tampa, FL 33612-4745
Phone (508) 463-6698
Other practice location 1
13800 Veterans Way
Asp 126
Orlando, FL 32827-7403
Phone (508) 463-6698
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA15264 | FL | MD | Speech-Language Pathologist |
| 146013485 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516320000000",
"number": "1467904201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13000 BRUCE B DOWNS BLVD",
"address_2": "ASP 126",
"city": "TAMPA",
"state": "FL",
"postal_code": "336124745",
"telephone_number": "508-463-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13000 BRUCE B DOWNS BLVD",
"address_2": "ASP 126",
"city": "TAMPA",
"state": "FL",
"postal_code": "33612",
"telephone_number": "813-972-2000"
}
],
"practiceLocations": [
{
"address_1": "13800 Veterans Way",
"address_2": "ASP 126",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328277403",
"country_code": "US",
"telephone_number": "508-463-6698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMERON",
"first_name": "MICHELLE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-27",
"last_updated": "2018-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA15264",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146013485",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.