Active NPI
Michelle Kristine Angelica, MS CCC/SLP
- Speech-Language Pathologist
- Wilmington, OH
National Provider Identifier
1659754976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP7853
- Practice address
- 135 Highland CT
Wilmington, OH 45177-7528 - Phone
- (937) 655-9571
- NPI assigned
- Jul 6, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP7853 | OH | Primary |
Addresses
Primary practice location
135 Highland CT
Wilmington, OH 45177-7528
Mailing address
135 Highland CT
Wilmington, OH 45177-7528
Phone (937) 655-9571
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP7853 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436140800000",
"number": "1659754976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 HIGHLAND CT",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451777528",
"telephone_number": "937-655-9571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 HIGHLAND CT",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451777528",
"telephone_number": "937-655-9571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELICA",
"first_name": "MICHELLE",
"middle_name": "KRISTINE",
"credential": "MS CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-06",
"last_updated": "2015-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP7853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.