Active NPI
Melissa Perkins, CCC-SLP
- Speech-Language Pathologist
- Brandon, FL
National Provider Identifier
1023486552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA15007
- Practice address
- 602 Vonderburg Dr
Brandon, FL 33511 - Phone
- (305) 901-9309
- NPI assigned
- Sep 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA15007 | FL | Primary |
Addresses
Primary practice location
602 Vonderburg Dr
Brandon, FL 33511
Mailing address
7026 Woodchase Glen Dr
Riverview, FL 33578-8401
Phone (305) 901-9309
Other practice location 1
11251 NW 20th St
118
Miami, FL 33172-1859
Phone (305) 878-0083
Other names 1
- Ms. Melissa Zuniga
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA15007 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinetic Kids, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmental Disabilities Clinic/Center
- Miami, FL
- NPI 1528323292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1023486552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7026 WOODCHASE GLEN DR",
"city": "RIVERVIEW",
"state": "FL",
"postal_code": "335788401",
"telephone_number": "305-901-9309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 VONDERBURG DR",
"city": "BRANDON",
"state": "FL",
"postal_code": "33511",
"telephone_number": "305-901-9309"
}
],
"practiceLocations": [
{
"address_1": "11251 NW 20th St",
"address_2": "118",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331721859",
"country_code": "US",
"telephone_number": "305-878-0083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERKINS",
"first_name": "MELISSA",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-15",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA15007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "ZUNIGA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.