Individual provider Active NPI

Candace Nuzzo Michiels

  • Speech-Language Pathologist
  • Rockville, MD
National Provider Identifier
1821544602
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01299L Issued in MD
Practice address
11614 Seven Locks Road
Ivymount School
Rockville, MD 20854
Phone
(301) 469-0223
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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 01299L MD Primary

Addresses

Primary practice location

11614 Seven Locks Road
Ivymount School
Rockville, MD 20854

Mailing address

5703 45TH Ave
Hyattsville, MD 20781-1581

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
01299LMDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Ivymount School, Inc Past Accepting new patients
Ivymount Outreach Programs, Inc Past Accepting new patients

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1821544602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 45TH AVE",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207811581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11614 SEVEN LOCKS ROAD",
            "address_2": "IVYMOUNT SCHOOL",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20854",
            "telephone_number": "301-469-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUZZO MICHIELS",
        "first_name": "CANDACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01299L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.