Individual provider Active NPI

Michelle Williams

  • Speech-Language Pathologist
  • Seville, OH
National Provider Identifier
1780045583
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4453 Good Rd
Seville, OH 44273-9329
Phone
(330) 336-8332
NPI assigned
Mar 8, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 OH Primary

Addresses

Primary practice location

4453 Good Rd
Seville, OH 44273-9329

Mailing address

3205 Shreve Rd
Wooster, OH 44691-4439

Other practice location 1

6108 County Road 77
Millersburg, OH 44654-9136
Phone (330) 893-2610

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

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780045583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 SHREVE RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4453 GOOD RD",
            "city": "SEVILLE",
            "state": "OH",
            "postal_code": "442739329",
            "telephone_number": "330-336-8332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6108 County Road 77",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "OH",
            "postal_code": "446549136",
            "country_code": "US",
            "telephone_number": "330-893-2610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.