Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1942523527 Deactivated / Inactive NPI Female Practitioner

Dr. Michelle S Bourgeois , PhD

Speech-Language Pathologist • Tampa, FL

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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, Dr. Michelle Bourgeois has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 10, 2010
NPI Deactivation Date September 18, 2024
Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Bourgeois, PhD was a registered Speech-Language Pathologist practicing in Tampa, FL. Throughout an active medical career spanning 14 years, Dr. Bourgeois provided care at the practice location at 4202 E FOWLER AVE until profile deactivation on 2024-09-18.

Practice Location & Contact Primary Location

Practice Address

4202 E Fowler Ave
Pcd1017

Tampa, FL 336208000

Telephone 8139749844
Associated Practice Facility / Clinic
🏢 University Of South Florida Facility NPI 1578601654

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.1 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
644 Specialists

Practicing in Tampa, FL (11640 Statewide)

Telehealth Adoption Rate
1.7% 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License FL SA 12596

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

17 Associated Practitioners
Amy Davis , SLP

Speech-Language Pathologist

NPI 1023303302

Speech-Language Pathologist

Diana Julbe-Delgado , MS, CCC-SLP

Speech-Language Pathologist

NPI 1043575590

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Carolyn Ford , SLP

Speech-Language Pathologist

NPI 1063716819

Speech-Language Pathologist

Emily Glass , MA, CCC-SLP

Speech-Language Pathologist

NPI 1093381436

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Denyse Sierra

Speech-Language Pathologist

NPI 1134520158
Gabrielle Kossaris

Speech-Language Pathologist

NPI 1215305503

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 18, 2024

Record deactivated on September 18, 2024

NPI Profile Active March 16, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 16, 2015

Registered at 4202 E FOWLER AVE, PCD1017, TAMPA, FL 336208000 (Tel: 8139749844)

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Updated Business Mailing Address March 16, 2015

Registered at PO BOX 917770, ORLANDO, FL 328917770

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Provider Name / Credentials Updated March 16, 2015

Recorded as MICHELLE BOURGEOIS, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2015

Speech-Language Pathologist (License #SA 12596 in FL)

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Initial NPI Registration & Enumeration March 10, 2010

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: 1942523527
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 10, 2010
Last Update: March 16, 2015
Deactivation Date: September 18, 2024

Mailing Address

Po Box 917770

Orlando, FL 328917770

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

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