Individual provider Active NPI

Michele Ann Dimarcantonio, M.S.,C.C.C.,SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1528267580
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
100876 Issued in TX
Practice address
12006 Newport Shore Dr
Houston, TX 77065-3919
Phone
(281) 433-4033
Fax
(281) 807-9148
NPI assigned
Jul 11, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 100876 TX Primary

Addresses

Primary practice location

12006 Newport Shore Dr
Houston, TX 77065-3919

Mailing address

12006 Newport Shore Dr
Houston, TX 77065-3919
Phone (281) 433-4033

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

LicenseStateTypeSpecialty
100876TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1528267580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12006 NEWPORT SHORE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653919",
            "telephone_number": "281-433-4033",
            "fax_number": "281-807-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12006 NEWPORT SHORE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653919",
            "telephone_number": "281-433-4033",
            "fax_number": "281-807-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMARCANTONIO",
        "first_name": "MICHELE",
        "middle_name": "ANN",
        "credential": "M.S.,C.C.C.,SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.