Individual provider Active NPI

Michelle Lynn Iuliano, MA CCC-SLP

  • Speech-Language Pathologist
  • Mooresville, NC
National Provider Identifier
1801119094
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7077 Issued in NC
Practice address
183 Blueview Rd
Mooresville, NC 28117-9548
Phone
(704) 677-8097
NPI assigned
Mar 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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 7077 NC Primary

Addresses

Primary practice location

183 Blueview Rd
Mooresville, NC 28117-9548

Mailing address

183 Blueview Rd
Mooresville, NC 28117-9548
Phone (704) 677-8097

Other practice location 1

5139 Foxbriar Trl
Charlotte, NC 28269-0400
Phone (704) 677-8097

Other names 1

  • Michelle Lynn Moore Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle_iuliano@davisregional.com Direct Lake Norman Communication Services, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719000831 NC Practitioner - Qualified Speech Language Pathologist 9133665763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

1807 Windsor Run LN
Matthews, NC 28105-0124
Phone (980) 375-6558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7077NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince May 20, 2024 Accepting new patients
Comprehensive Therapeutics LTD Speech-Language Pathologist CurrentSince May 20, 2024 Accepting new patients

Locations

2030 Windsor Run Ln
Matthews, NC 28105
Phone (704) 432-6250

1807 Windsor Run Ln
Matthews, NC 28105
Phone (704) 443-6200

2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123

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": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1801119094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 BLUEVIEW RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179548",
            "telephone_number": "704-677-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 BLUEVIEW RD",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179548",
            "telephone_number": "704-677-8097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5139 Foxbriar Trl",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282690400",
            "country_code": "US",
            "telephone_number": "704-677-8097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IULIANO",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle_iuliano@davisregional.com",
            "affiliation": "Y",
            "affiliationName": "Lake Norman Communication Services, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "249 Williamson Rd Ste 102",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281176863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "MOORE",
            "middle_name": "LYNN",
            "credential": "MA CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.