Individual provider Active NPI

Dawson Michelle Cooper, MS

  • Speech-Language Pathologist
  • Wilmington, NC
National Provider Identifier
1891633830
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30004411 Issued in NC
Practice address
70 Sanders Rd
Wilmington, NC 28412-2619
Phone
(910) 350-2039
NPI assigned
Mar 23, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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 30004411 NC Primary

Addresses

Primary practice location

70 Sanders Rd
Wilmington, NC 28412-2619

Mailing address

5002 Randall Pkwy Ste 102
Wilmington, NC 28403-2845
Phone (301) 331-1335

Other practice location 1

455 Halyburton Memorial Pkwy
Wilmington, NC 28412-2776
Phone (910) 798-3311

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
30004411NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1891633830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 RANDALL PKWY STE 102",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032845",
            "telephone_number": "301-331-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SANDERS RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122619",
            "telephone_number": "910-350-2039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Halyburton Memorial Pkwy",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122776",
            "country_code": "US",
            "telephone_number": "910-798-3311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DAWSON",
        "middle_name": "MICHELLE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30004411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.