Individual provider Active NPI

Milca Bellegarde, CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1720577794
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12495 Issued in NC
Practice address
2459 Wilkinson Blvd Ste 310
Charlotte, NC 28208-5674
Phone
(704) 268-9167
NPI assigned
May 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 12495 NC Primary

Addresses

Primary practice location

2459 Wilkinson Blvd Ste 310
Charlotte, NC 28208-5674

Mailing address

2459 Wilkinson Blvd Ste 310
Charlotte, NC 28208-5674
Phone (704) 268-9167

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

LicenseStateTypeSpecialty
12495NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Engage Speech Language Services, PLLC Speech-Language Pathologist CurrentSince Jan 8, 2023 Accepting new patients
Pediatric Speech & Language Services Inc Speech-Language Pathologist Past Accepting new patients

Locations

2459 Wilkinson Blvd
Ste 310
Charlotte, NC 28208
Phone (704) 268-9167

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1720577794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 WILKINSON BLVD STE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085674",
            "telephone_number": "704-268-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 WILKINSON BLVD STE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085674",
            "telephone_number": "704-268-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLEGARDE",
        "first_name": "MILCA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-05",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.