Active NPI
Michelle Leazer Pentz, MS, CCC-SLP
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1861683500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7821
- Practice address
- 9111 Monroe Rd Ste 100
Charlotte, NC 28270 - Phone
- (704) 847-3911
- NPI assigned
- Aug 7, 2007
- Last updated
- Nov 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | 7821 | NC | Primary |
Addresses
Primary practice location
9111 Monroe Rd Ste 100
Charlotte, NC 28270
Mailing address
9111 Monroe Rd Ste 100
Charlotte, NC 28270-2460
Phone (704) 847-3911
Other practice location 1
10516 Park Rd
Charlotte, NC 28210-8405
Phone (704) 541-9080 ext. 214
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Charlotte |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7821 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1861683500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9111 MONROE RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282702460",
"telephone_number": "704-847-3911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 MONROE RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28270",
"telephone_number": "704-847-3911"
}
],
"practiceLocations": [
{
"address_1": "10516 Park Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282108405",
"country_code": "US",
"telephone_number": "704-541-9080 x214",
"fax_number": "704-542-0699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENTZ",
"first_name": "MICHELLE",
"middle_name": "LEAZER",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7821",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Charlotte",
"affiliation": "N",
"address_1": "9111 Monroe Rd Ste 100",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "28270",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.