Michelle Hampton Blevins
Individual provider Active NPI Speech-Language Pathologist · Jefferson, NC
NPI 1497324347 · NPPES record last updated Jun 23, 2021
Key facts
- NPI
- 1497324347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1774 (NC)
- Practice address
- 540 Waugh St Unit B
Jefferson, NC 28640-9034 - Phone
- (336) 246-5581
- NPI assigned
- Jun 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1774 | NC | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1774 | NC | Yes |
Addresses
Primary practice location
540 Waugh St Unit B
Jefferson, NC 28640-9034
Mailing address
PO Box 1736
West Jefferson, NC 28694-1736
Phone (336) 620-1408
Other providers in Jefferson, NC
- Jeffrey Kent Baldwin
- Suzanne Marie Barthet
- Ronald William Benfield
- Maggi Jane Birdsell
- Matthew Joseph Blevins
- Blue Ridge Medical Transport Inc
- Bluehill Health and Wellness, PLLC
- Melinda A Bogardus
- Boone Pediatric Therapy PLLC
- Mark Bordeaux
All providers in Jefferson, NC · Speech-Language Pathologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.