Audrey Natasha Mighty-Harmon, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146-005187 Issued in IL

Practice address

9923 Ridgeland Ave
Suite 131
Chicago Ridge, IL 60415-1262

Phone

(773) 412-9824

Fax

(773) 445-0350

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801929336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9354 S BISHOP ST",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606205136",
            "telephone_number": "773-445-0540",
            "fax_number": "773-445-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9923 RIDGELAND AVE",
            "address_2": "SUITE 131",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604151262",
            "telephone_number": "773-412-9824",
            "fax_number": "773-445-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGHTY-HARMON",
        "first_name": "AUDREY",
        "middle_name": "NATASHA",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146-005187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100044415",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01635357",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midwest Express Care 2, Inc
• Midwest Interventional Pain Solutions LLC
• Midwest Interventional Pain Solutions LLC
• Greg Mierzwa
• Mighty Speechworks Inc
• Millenium Pharmacy LTD
• Millenium Pharmacy LTD
• Milt88 Inc
• Diana Mohamed
• Hany Youssef Mohamed, D.D.S.

• Speech-Language Pathologist in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.