Active NPI
Dawson Michelle Cooper, MS
- Speech-Language Pathologist
- Wilmington, NC
National Provider Identifier
1891633830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30004411
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30004411 | NC | MD | Speech-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.