Active NPI
Michelle Therese Nin
- Speech-Language Pathologist
- Cleveland, OH
National Provider Identifier
1629586680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13012
- Practice address
- 4550 W 150TH St
Cleveland, OH 44135-3460 - Phone
- (216) 838-6750
- NPI assigned
- Jan 11, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | COND.2017356-SP | OH | |
| Speech-Language Pathologist | 235Z00000X | 13012 | OH | Primary |
Addresses
Primary practice location
4550 W 150TH St
Cleveland, OH 44135-3460
Mailing address
8506 Camden CT
Broadview Heights, OH 44147-1782
Other practice location 1
1111 Superior Ave E
Cleveland, OH 44114-2522
Phone (216) 838-0000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13012 | OH | MD | Speech-Language Pathologist |
| COND.2017356-SP | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Past | Accepting new patients |
Interoperability endpoints
- mnin39183@ehrdirect.uhhospitals.org
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1629586680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8506 CAMDEN CT",
"city": "BROADVIEW HEIGHTS",
"state": "OH",
"postal_code": "441471782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4550 W 150TH ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441353460",
"telephone_number": "216-838-6750"
}
],
"practiceLocations": [
{
"address_1": "1111 Superior Ave E",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441142522",
"country_code": "US",
"telephone_number": "216-838-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIN",
"first_name": "MICHELLE",
"middle_name": "THERESE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-11",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "COND.2017356-SP",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "13012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.