Chasattee Mickens, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7357 Issued in NC

Practice address

307 Upton St
Winston Salem, NC 27103-1735

Phone

(336) 837-4222

Fax

(336) 376-7711

NPI assigned

Mar 19, 2007

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

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1558485243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 UPTON ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031735",
            "telephone_number": "336-837-4222",
            "fax_number": "336-376-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 UPTON ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031735",
            "telephone_number": "336-837-4222",
            "fax_number": "336-376-7711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N Church St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274054314",
            "country_code": "US",
            "telephone_number": "336-375-2240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICKENS",
        "first_name": "CHASATTEE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex David Michaels, M.D.
• Benjamin Douglas Michaels, MD
• Victoria Michalove
• Patrick Michael Michel, DMD
• William L. Michielutte, PH.D.
• Joseph Baisden Mickler, D.D.S.
• Mid State Health Systems, Inc
• Mid-State Health Systems, Inc
• Angela Middleton
• Bethany Nicole Middleton

• Speech-Language Pathologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.