Carmen Melissa McCrea, M.S. CCC-SLP

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

4357 Woodtree LN
Orlando, FL 32835-2714

Phone

(407) 963-0351

NPI assigned

Mar 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1043481526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4357 WOODTREE LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352714",
            "telephone_number": "407-963-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4357 WOODTREE LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328352714",
            "telephone_number": "407-963-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREA",
        "first_name": "CARMEN",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7103",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica McCracken, LMT
• Alexandra Paige McCrary
• Crystal McCray
• Sharnaye Lakyra McCray
• Yolanda Albertha McCray
• Christopher R McCrea, PH.D.
• Stacy Ann-Marie McCreary
• Wayne Anthony McCreath, MD
• Kathleen Riley McCree
• Kinzy McCree

• Early Intervention Provider Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Early Intervention Provider Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.