Active NPI
Michelle L Wilkinson, MS, CCC, SLP
- Speech-Language Pathologist
- Myersville, MD
National Provider Identifier
1992823256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06073
- Practice address
- 10232 Meadowridge Dr
Myersville, MD 21773-8652 - Phone
- (240) 784-0361
- NPI assigned
- Mar 26, 2007
- 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 | 06073 | MD | Primary |
Addresses
Primary practice location
10232 Meadowridge Dr
Myersville, MD 21773-8652
Mailing address
10232 Meadowridge Dr
Myersville, MD 21773-8652
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 |
|---|---|---|---|
| 06073 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1992823256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10232 MEADOWRIDGE DR",
"city": "MYERSVILLE",
"state": "MD",
"postal_code": "217738652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10232 MEADOWRIDGE DR",
"city": "MYERSVILLE",
"state": "MD",
"postal_code": "217738652",
"telephone_number": "240-784-0361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "MICHELLE",
"middle_name": "L",
"credential": "MS, CCC, SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Myersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.