Individual provider Active NPI

Melanie Lynn Wiseman, M.S. SLP

  • Speech-Language Pathologist
  • Aurora, CO
National Provider Identifier
1023358447
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
54042 Issued in CO
Practice address
2851 S Parker Rd Ste 570
Aurora, CO 80014-2749
Phone
(303) 888-4840
NPI assigned
Feb 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 54042 CO Primary

Addresses

Primary practice location

2851 S Parker Rd Ste 570
Aurora, CO 80014-2749

Mailing address

4741 S Liverpool Cir
Aurora, CO 80015-6697
Phone (303) 731-7830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150819007235 CO Practitioner - Qualified Speech Language Pathologist 5496060501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapies of the Rockies LLC.Group PAC ID 6103096979, 7 clinicians

Practice addresses (Care Compare)

274 Union Blvd
Suite 220
Lakewood, CO 80228-1835
Phone (303) 727-0301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
54042COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapies of the Rockies LLC. Speech-Language Pathologist CurrentSince Jul 7, 2015 Accepting new patients
Therapies of the Rockies LLC. Speech-Language Pathologist CurrentSince Jul 7, 2015 Accepting new patients
Denver Speech Therapy LLC Speech-Language Pathologist Past Accepting new patients

Locations

2851 S Parker Rd
Ste 426
Aurora, CO 80014
Phone (303) 888-4840

2851 S Parker Rd
Ste 570
Aurora, CO 80014
Phone (303) 727-0301

274 Union Blvd
Ste 220
Lakewood, CO 80228
Phone (720) 535-5671

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1023358447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 S LIVERPOOL CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800156697",
            "telephone_number": "303-731-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S PARKER RD STE 570",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142749",
            "telephone_number": "303-888-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISEMAN",
        "first_name": "MELANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.S. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "54042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.