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Micah Reidy , MS CCC-SLP

Speech-Language Pathologist β€’ Poulsbo, WA

Active NPI 1649406232 Individual Practitioner Female Practitioner
Practice location in NPPES

1250 Ne Lincoln Rd
Poulsbo, WA 98370

Call 8009674667 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1250 Ne Lincoln Rd

Poulsbo, WA 98370

Telephone 8009674667
Fax 8662734090
Organization at the Same NPPES Address or Phone
Emeritus Corporation Facility NPI 1831403377

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Honolulu, HI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Poulsbo and Washington

21 active clinicians are listed under Speech-Language Pathologist with a practice address in Poulsbo, WA (4,109 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Poulsbo

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-02-16
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES TX 105011

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Specialist/Technologist - Speech-Language Assistant

NUCC Taxonomy Code: 2355S0801X

License # reported to NPPES TX 105011
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Secondary Practice Locations

3288 Moanalua Rd

Honolulu, HI 968191469

Phone: 8084322000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Samantha Adams , OT

Occupational Therapist

NPI 1730755869

Occupational Therapist

Sherrie Barton , OTR

Occupational Therapist - Physical Rehabilitation

NPI 1235767179

Occupational Therapist Registered

Amy Bleichner , MOT, OTR, L

Occupational Therapist

NPI 1477278497

Master of Occupational Therapy, Occupational Therapist Registered, L

Patricia Carrillo

Speech-Language Pathologist

NPI 1801525068
Lothies Cates

Physical Therapist

NPI 1487390787
Esther Cedarbaum , MSOT

Occupational Therapist

NPI 1689302010

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location February 16, 2023

Registered at 1250 NE LINCOLN RD, POULSBO, WA 98370 (Tel: 8009674667)

πŸ“
Updated Business Mailing Address February 16, 2023

Registered at 1250 NE LINCOLN RD, POULSBO, WA 98370 (Tel: 8009674667)

πŸ‘€
Provider Name / Credentials Updated February 16, 2023

Recorded as MICAH REIDY, MS CCC-SLP

πŸ“
Updated Practice Location February 09, 2023

Registered at 11290 ANDERSON LNDG NW, SILVERDALE, WA 983837327 (Tel: 9186588567)

πŸ“
Updated Business Mailing Address February 09, 2023

Registered at 11290 ANDERSON LNDG NW, SILVERDALE, WA 983837327 (Tel: 9186588567)

πŸ‘€
Provider Name / Credentials Updated February 09, 2023

Recorded as MICAH REIDY, MS, CCC-SLP

πŸ“
Updated Practice Location June 25, 2021

Registered at 3288 MOANALUA RD, HONOLULU, HI 968191469 (Tel: 8084322000)

βœ…
NPI Profile Active June 09, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 09, 2009

Registered at 9900 N CENTRAL EXPY, SUITE 300, DALLAS, TX 752314395 (Tel: 2142650420)

πŸ“
Business Mailing Address (Initial Record) June 09, 2009

Registered at 40916 OLD HWY 59, HOWE, OK 74940

πŸ‘€
Provider Name / Credentials (Initial Record) June 09, 2009

Recorded as MICAH BAKER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2009

Specialist/Technologist (license number reported to NPPES: TX 105011)

🟒
Initial NPI Registration & Enumeration June 09, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1649406232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2009
Last Update: February 16, 2023
Sole Proprietor: No

Mailing Address

1250 Ne Lincoln Rd

Poulsbo, WA 98370

Phone: 8009674667

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.