Individual provider Active NPI

Elizabeth B Michiels, MS CCC/SLP

  • Speech-Language Pathologist
  • Mesquite, TX
National Provider Identifier
1871832022
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17847 Issued in TX
Practice address
2231 Hwy 80 E
Willowbend Nursing & Rehab
Mesquite, TX 75150-5510
Phone
(972) 279-3601
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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 17847 TX Primary

Addresses

Primary practice location

2231 Hwy 80 E
Willowbend Nursing & Rehab
Mesquite, TX 75150-5510

Mailing address

1226 Ashland Dr
Richardson, TX 75080-4815
Phone (469) 233-4753

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

LicenseStateTypeSpecialty
17847TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1871832022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 ASHLAND DR",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804815",
            "telephone_number": "469-233-4753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 HWY 80 E",
            "address_2": "WILLOWBEND NURSING & REHAB",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505510",
            "telephone_number": "972-279-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHIELS",
        "first_name": "ELIZABETH",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "17847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.