Individual provider Active NPI

Michelle Elizabeth Garcia, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Santa Fe, NM
National Provider Identifier
1982833992
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4932 Issued in NM
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

Updated by the provider on May 12, 2017

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 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
4932NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Speech-Language Pathology Services, LLC Speech-Language Pathologist CurrentSince Jan 14, 2019 Accepting new patients
Integrated Counseling LLC PastSince Jun 29, 2016 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.

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.

Verify at the official NPI Registry.