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Deactivated NPI 1578181079 Deactivated / Inactive NPI Female Practitioner

Micaela Watmore

Speech-Language Pathologist • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Micaela Watmore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 10, 2020
NPI Deactivation Date October 27, 2025
Total Practice Duration ~5 Years of Practice (2020 – 2025)

Professional Overview & Biography Verified Profile Summary

Micaela Watmore was a registered Speech-Language Pathologist practicing in Phoenix, AZ. Throughout an active medical career spanning 5 years, Micaela Watmore provided care at the practice location at 20402 N 15TH AVE until profile deactivation on 2025-10-27.

Practice Location & Contact Primary Location

Practice Address

20402 N 15th Ave

Phoenix, AZ 850273636

Telephone 6234455000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
942 Specialists

Practicing in Phoenix, AZ (4584 Statewide)

Telehealth Adoption Rate
0.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License AZ TSLP16525

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Halle Turek

Speech-Language Pathologist

NPI 1023798477
Jossie Cebreros

Licensed Practical Nurse

NPI 1033945043
Jadeyn Shaw

Specialist/Technologist - Speech-Language Assistant

NPI 1053289447
Sheyda Moosavi , OTR, L

Occupational Therapist

NPI 1205580917

Occupational Therapist Registered, L

Tara Leonard , OTR, L

Occupational Therapist

NPI 1215818323

Occupational Therapist Registered, L

Dr. Marianne Vu , DPT, PT

Physical Therapist - Pediatrics

NPI 1316703135

Doctor of Physical Therapy, Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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Updated Practice Location April 06, 2026

Registered at 20402 N 15TH AVE, PHOENIX, AZ 850273636 (Tel: 6234455000)

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Updated Business Mailing Address April 06, 2026

Registered at 1100 E OSBORN RD APT 240, PHOENIX, AZ 850145268

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Provider Name / Credentials Updated April 06, 2026

Recorded as MICAELA WATMORE

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2026

Speech-Language Pathologist (License #TSLP16525 in AZ)

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NPI Profile Deactivated October 27, 2025

Record deactivated on October 27, 2025

NPI Profile Active July 10, 2020

NPI status registered as active in NPPES database

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Updated Practice Location July 10, 2020

Registered at 21630 N 19TH AVE, PHOENIX, AZ 850272719 (Tel: 6028755616)

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Updated Business Mailing Address July 10, 2020

Registered at 4239 E RANCHO TIERRA DR, CAVE CREEK, AZ 853317867

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Provider Name / Credentials Updated July 10, 2020

Recorded as MICAELA MUEHLICH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2020

Specialist/Technologist (License #12454 in AZ)

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Initial NPI Registration & Enumeration July 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578181079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2020
Last Update: April 06, 2026
Deactivation Date: October 27, 2025
Sole Proprietor: Yes

Mailing Address

1100 E Osborn Rd Apt 240

Phoenix, AZ 850145268

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
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