Melissa Hillquist, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Mesa, AZ
NPI 1831406818 · NPPES record last updated Sep 11, 2010
Key facts
- NPI
- 1831406818
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP4150 (AZ)
- Practice address
- 551 S Higley Rd
Mesa, AZ 85206-2148 - Phone
- (480) 892-9777
- Fax
- (480) 635-0222
- NPI assigned
- Sep 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP4150 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Pediatric Therapy, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
| Bright Horizon Rehab Therapy, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP4150 | AZ | Yes |
Addresses
Primary practice location
551 S Higley Rd
Mesa, AZ 85206-2148
Mailing address
551 S Higley Rd
Mesa, AZ 85206-2148
Phone (480) 892-9777
NPI Registry JSON
{
"created_epoch": "1284163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284163200000",
"number": "1831406818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 S HIGLEY RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852062148",
"telephone_number": "480-892-9777",
"fax_number": "480-635-0222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 S HIGLEY RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852062148",
"telephone_number": "480-892-9777",
"fax_number": "480-635-0222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLQUIST",
"first_name": "MELISSA",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-11",
"last_updated": "2010-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP4150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
- Michelle Lenee Hill
- Tammy Jane Hill
- Taylor Hill
- Warren E Hill
- Jean E Hilliard
- Brittney Hillyard
- Audrey Carol Hilmoe
- Ebony Hilson
- Gary Hinchman
- Mark Raymond Hinde
All providers in Mesa, AZ · Speech-Language Pathologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.