Individual provider Active NPI

Michele A. Bell-Badger, MA, CCC-SLP

  • Speech-Language Pathologist
  • Orange Park, FL
National Provider Identifier
1881828515
Registry record updated May 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA6136 Issued in FL
Practice address
2949 Thorncrest Dr
Orange Park, FL 32065-2252
Phone
(904) 333-4679
Fax
(904) 356-5484
NPI assigned
May 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2009

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 SA6136 FL Primary

Addresses

Primary practice location

2949 Thorncrest Dr
Orange Park, FL 32065-2252

Mailing address

2949 Thorncrest Dr
Orange Park, FL 32065-2252
Phone (904) 333-4679

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 Arts

State licenses

LicenseStateTypeSpecialty
SA6136FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Beginnings Speech and Language Therapy Center, LLC Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1241827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241827200000",
    "number": "1881828515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 THORNCREST DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652252",
            "telephone_number": "904-333-4679",
            "fax_number": "904-356-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 THORNCREST DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652252",
            "telephone_number": "904-333-4679",
            "fax_number": "904-356-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL-BADGER",
        "first_name": "MICHELE",
        "middle_name": "A.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-09",
        "last_updated": "2009-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2009; 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.