Mikayla Mae Hamilton, SPEECH-PATHOLOGIST

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7221 Issued in SC

Practice address

1132 Rutherford Rd
Greenville, SC 29609-3927

Phone

(864) 250-0005

Fax

(864) 250-0028

NPI assigned

Jul 1, 2020

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

Other identifiers 1

Other names 1

• Mikayla Mae Michael Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Meyer Center for Special Children

  • Pediatric Occupational Therapist
  • Greenville, SC
  • NPI 1821072612

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1609493154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 RUTHERFORD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093927",
            "telephone_number": "864-250-0005",
            "fax_number": "864-250-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 RUTHERFORD RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296093927",
            "telephone_number": "864-250-0005",
            "fax_number": "864-250-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Jimmy Doolittle Drive Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296072622",
            "country_code": "US",
            "telephone_number": "864-640-4970",
            "fax_number": "864-520-8813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "MIKAYLA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "SPEECH-PATHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "7221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA2380",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAYLA",
            "last_name": "MICHAEL",
            "middle_name": "MAE",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Lee Hamil, CRNA
• Angela Dawn Hamilton, CRNA
• Elizabeth Kayleen Hamilton
• Mariel Angelee Hamilton, NP
• Matthew Keith Hamilton, M.D.
• Selena Raye Hamilton
• Taylor Hamilton, RBT
• Thomas E. Hamilton, M.D.
• Darielle Hamlin
• Jacob Hamm, M.D.

• Speech-Language Pathologist in Greenville, SC
• Providers in Greenville, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.