MICHELLE ADELAIDE PARKER – Speech-Language Pathologist, NPI 1134610090

MICHELLE ADELAIDE PARKER is a healthcare provider. based in Holladay, Utah. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. 10801732-4104 (UT). The NPI Number for MICHELLE ADELAIDE PARKER is 1134610090

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE ADELAIDE PARKER
NPI
1134610090
Phone
(801) 949-7308
Address
4821 S POULOS LN
Enumeration Date
25 May 2018
Last Update Date
25 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4357161150
Graduation Year
2018 (8 years ago)
PAC ID
4587082292
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20200911002470
Address ID
UT843412400LO1350X500X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

87 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in UT

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Provider Addresses for MICHELLE ADELAIDE PARKER

  • 4821 S POULOS LN

    HOLLADAY, UT 841177165

    Phone: (801) 949-7308

    Type: Mailing

  • 22, 900 East, East Central, Salt Lake City, Salt Lake County, Utah, 84102, United States

    SALT LAKE CITY, UT 841021307

    Phone: (801) 328-2522

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200911002470IQualified Speech Language PathologistUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
31579Exam to assess movement of vocal cord flaps using an endoscope1413$0
92524Analysis of voice and resonance production1211$0
View full utilization report →

Insurance plans in this area (ZIP 84117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850209420View full group profile

Reviews

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Frequently asked questions

Is MICHELLE ADELAIDE PARKER listed with a National Provider Identifier?
Yes — MICHELLE ADELAIDE PARKER has NPI 1134610090 on file in the registry.
Is MICHELLE ADELAIDE PARKER shown as active in public data?
Registry records indicate MICHELLE ADELAIDE PARKER maintains an active NPI.
What expertise is attributed to MICHELLE ADELAIDE PARKER?
MICHELLE ADELAIDE PARKER's specialty line reads Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What locale is associated with MICHELLE ADELAIDE PARKER?
Directory geography for MICHELLE ADELAIDE PARKER centers on Holladay, Utah.
Does MICHELLE ADELAIDE PARKER accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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