Michelle Bernal

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

39551 Issued in TX

Practice address

1000 W Crosby Rd Ste 136
Carrollton, TX 75006-6904

Phone

(972) 237-0100

NPI assigned

Feb 20, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• CKC Holdings LLC

  • Home Health Agency
  • Arlington, TX
  • NPI 1023310901
  NPD (past)
• CKC Holdings LLC

  • Behavior Analyst
  • Carrollton, TX
  • NPI 1538815055
  NPD (past)

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1952801458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 OAK VISTA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321920",
            "telephone_number": "214-907-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W CROSBY RD STE 136",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066904",
            "telephone_number": "972-237-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAL",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "39551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Michael Benavides
• Orvial Lee Bennett Jr., PA
• Melody Eisenbach Benson, M.A., CCC/SLP
• Taylor Grace Benton
• Victoria Berger, OCCUPATIONAL THERAPI
• Odette Bernardo
• McKenzea June Bernays
• Jerria Bernestine, FNP
• Kimberly Dawn Berry, LPC
• Taylor Berry

• Speech-Language Assistant in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.