Active NPI
Michelle Elizabeth Garcia, M.S., CCC-SLP
- Speech-Language Pathologist
- Santa Fe, NM
National Provider Identifier
1982833992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4932
- Practice address
- 1012 Marquez PL
Suite 211
Santa Fe, NM 87505-1834 - Phone
- (505) 302-0095
- NPI assigned
- Jul 11, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 4932 | NM | Primary |
Addresses
Primary practice location
1012 Marquez PL
Suite 211
Santa Fe, NM 87505-1834
Mailing address
15 Calleja Miramonte
Lamy, NM 87540-9662
Phone (505) 302-0095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171003004827 | NM | Practitioner - Qualified Speech Language Pathologist | 5395027569 |
Reassigns benefits to 1 organization Practice locations: Santa Fe, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1012 Marquez PL
Suite 211
Santa Fe, NM 87505-1834
Phone (505) 332-0095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4932 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rise Speech-Language Pathology Services, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Integrated Counseling LLC | Past | Accepting new patients |
Locations
2904 Rodeo Park Dr E
Ste 400B
Santa Fe, NM 87505
Phone (505) 302-0095
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Santa Fe, NM
- NPI 1245711662
NM, Speech-Language Pathologist
-
- Clinical Social Worker
- Santa Fe, NM
- NPI 1083063309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1982833992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CALLEJA MIRAMONTE",
"city": "LAMY",
"state": "NM",
"postal_code": "875409662",
"telephone_number": "505-302-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1012 MARQUEZ PL",
"address_2": "SUITE 211",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875051834",
"telephone_number": "505-302-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MICHELLE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-11",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "4932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.