Active NPI
Michelle M. Casey
- Speech-Language Pathologist
- North Charleston, SC
National Provider Identifier
1730763020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 78279
- Practice address
- 9225 University Blvd Ste E2C
North Charleston, SC 29406-9149 - Phone
- (843) 569-4546
- Fax
- (843) 569-4535
- NPI assigned
- May 12, 2021
- 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 | 7295 | SC | |
| Speech-Language Pathologist | 235Z00000X | 78279 | MA | Primary |
Addresses
Primary practice location
9225 University Blvd Ste E2C
North Charleston, SC 29406-9149
Mailing address
9225 University Blvd Ste E2C
North Charleston, SC 29406-9149
Phone (843) 569-4546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7295 | Other | SC | SOUTH CAROLINA DEPARTMENT OF LABOR |
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 |
|---|---|---|---|
| 78279 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643932800000",
"number": "1730763020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9225 UNIVERSITY BLVD STE E2C",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069149",
"telephone_number": "843-569-4546",
"fax_number": "843-569-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9225 UNIVERSITY BLVD STE E2C",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294069149",
"telephone_number": "843-569-4546",
"fax_number": "843-569-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "MICHELLE",
"middle_name": "M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "7295",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "78279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA DEPARTMENT OF LABOR",
"identifier": "7295",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.