Individual provider Active NPI

Melanie Jacqueline Castellon-Lazo

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1053255729
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30004238 Issued in NC
Practice address
4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589
Phone
(980) 343-6960
NPI assigned
Apr 15, 2026
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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 30004238 NC Primary

Addresses

Primary practice location

4421 Stuart Andrew Blvd
Charlotte, NC 28217-1589

Mailing address

4539 Marthas Ridge Dr
Charlotte, NC 28215-5741
Phone (704) 490-2239

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

LicenseStateTypeSpecialty
30004238NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1053255729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 MARTHAS RIDGE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282155741",
            "telephone_number": "704-490-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 STUART ANDREW BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171589",
            "telephone_number": "980-343-6960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLON-LAZO",
        "first_name": "MELANIE",
        "middle_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30004238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.