Michelle Marie Misic, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

104369 Issued in TX

Practice address

1311 Round Rock Ave
Round Rock, TX 78681-4999

Phone

(512) 464-5000

NPI assigned

Sep 29, 2021

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• El Paso Independent School District

  • Local Education Agency (LEA)
  • El Paso, TX
  • NPI 1003032848
  NPD (past)
• Round Rock Independent School District

  • Local Education Agency (LEA)
  • Round Rock, TX
  • NPI 1295856649
  NPD (past)

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1508538448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 WALLIN FARMS DR",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345682",
            "telephone_number": "915-820-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 ROUND ROCK AVE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814999",
            "telephone_number": "512-464-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6531 Boeing Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799251008",
            "country_code": "US",
            "telephone_number": "915-236-6862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISIC",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-29",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Catherine Mink, NP-C
• Ashley Richardson Minnitt, LCSW-S
• Minuteclinic Diagnostic of Texas PLLC
• Minuteclinic Telehealth Services of Texas Association
• Yazmin J. Miranda, D.M.D
• Mississippi Lithotripters, LP
• Sandeep G Mistry, M.D.
• Teresa L. Mitchell-Monroe, RN
• Dominique Mitchell
• Richard Cardall Mitchell, PA-C

• Speech-Language Pathologist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.