NPIMap

Individual provider Active NPI

Michele A Bjella

  • Speech-Language Pathologist
  • Wisconsin Rapids, WI
National Provider Identifier
1912112822
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2445154 Issued in WI
Practice address
3541 Plover Rd
Wisconsin Rapids, WI 54494-2155
Phone
(715) 423-5423
NPI assigned
May 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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 2445154 WI Primary

Addresses

Primary practice location

3541 Plover Rd
Wisconsin Rapids, WI 54494-2155

Mailing address

1908 Lynda LN
Stevens Point, WI 54481-6025
Phone (715) 345-9779

Other identifiers 1

IdentifierTypeStateIssuer
42799700MedicaidWI

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

State licenses

LicenseStateTypeSpecialty
2445154WIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapies Plus 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": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1912112822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 LYNDA LN",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544816025",
            "telephone_number": "715-345-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 PLOVER RD",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544942155",
            "telephone_number": "715-423-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJELLA",
        "first_name": "MICHELE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2445154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42799700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wisconsin Rapids, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.