Organization Active NPI

Laura a Michie CCC SLP

  • Speech-Language Pathologist
  • Frederick, MD
National Provider Identifier
1487296604
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
LAURA A MICHIE CCC SLP
Practice address
10 N Jefferson St Ste 403
Frederick, MD 21701-4823
Phone
(301) 668-1852
Fax
(301) 668-1854
NPI assigned
Oct 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Krysten Hartle
Title
Office Manager
Phone
(301) 668-1852

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

10 N Jefferson St Ste 403
Frederick, MD 21701-4823

Mailing address

10 N Jefferson St Ste 403
Frederick, MD 21701-4823
Phone (301) 668-1852

Other names 1

  • Frederick SLP and OT Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1487296604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N JEFFERSON ST STE 403",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014823",
            "telephone_number": "301-668-1852",
            "fax_number": "301-668-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N JEFFERSON ST STE 403",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014823",
            "telephone_number": "301-668-1852",
            "fax_number": "301-668-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA A MICHIE CCC SLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "HARTLE",
        "authorized_official_first_name": "KRYSTEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-668-1852"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick SLP and OT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.