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

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.

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

LicenseStateTypeSpecialty
SLP4150AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 11, 2010.

{
    "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

All providers in Mesa, AZ · Speech-Language Pathologist in Arizona

Sources for this page

Verify at the official NPI Registry.