Michelle Kathryn Williams-Gabaldon, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1182 Issued in NM

Practice address

630 Barnett Rd
Bosque Farms, NM 87068-9332

Phone

(505) 720-2765

Fax

(505) 869-3011

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By 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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477601532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BARNETT RD",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870689332",
            "telephone_number": "505-720-2765",
            "fax_number": "505-869-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BARNETT RD",
            "city": "BOSQUE FARMS",
            "state": "NM",
            "postal_code": "870689332",
            "telephone_number": "505-720-2765",
            "fax_number": "505-869-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-GABALDON",
        "first_name": "MICHELLE",
        "middle_name": "KATHRYN",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "1182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Shain, D.O.M
• Matthew Smith, LMSW
• Southwest Medical Clinic Inc
• Martha Brown Swinney, MA, CCC-SLP
• Teekees Clinic

• Speech-Language Pathologist in Bosque Farms, NM
• Providers in Bosque Farms, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.