Individual provider Active NPI

Michelle Parisian, SLP

  • Speech-Language Pathologist
  • Mesa, AZ
National Provider Identifier
1730314121
Registry record updated May 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5312 Issued in AZ
Practice address
2220 S Country Club Dr Ste 104
Mesa, AZ 85210-6808
Phone
(490) 820-6366
NPI assigned
May 28, 2009
Last updated
May 28, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2009

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 5312 AZ Primary

Addresses

Primary practice location

2220 S Country Club Dr Ste 104
Mesa, AZ 85210-6808

Mailing address

3968 E Augusta Ave
Queen Creek, AZ 85242-3235
Phone (480) 659-2324

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
5312AZMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1730314121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3968 E AUGUSTA AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852423235",
            "telephone_number": "480-659-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 S COUNTRY CLUB DR STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106808",
            "telephone_number": "490-820-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISIAN",
        "first_name": "MICHELLE",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "5312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.