Active NPI
Mary Martha Melancon, SLP
- Speech-Language Pathologist
- Matthews, NC
National Provider Identifier
1053589382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5391
- Practice address
- 10800 Independence Pointe Pkwy
Suite D
Matthews, NC 28105-1839 - Phone
- (704) 708-8314
- Fax
- (704) 708-8315
- NPI assigned
- Feb 20, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 5391 | NC | Primary |
Addresses
Primary practice location
10800 Independence Pointe Pkwy
Suite D
Matthews, NC 28105-1839
Mailing address
10800 Independence Pointe Pkwy
Suite D
Matthews, NC 28105-1839
Phone (704) 708-8314
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 |
|---|---|---|---|
| 5391 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand in Hand Speech Consulting PLLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Matthews, NC
- NPI 1538933114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1053589382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10800 INDEPENDENCE POINTE PKWY",
"address_2": "SUITE D",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281051839",
"telephone_number": "704-708-8314",
"fax_number": "704-708-8315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10800 INDEPENDENCE POINTE PKWY",
"address_2": "SUITE D",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "281051839",
"telephone_number": "704-708-8314",
"fax_number": "704-708-8315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELANCON",
"first_name": "MARY",
"middle_name": "MARTHA",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "5391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.