Individual provider Active NPI

Melissa Ann Sancrant, MED. CCC-SLP

  • Speech-Language Pathologist
  • Hamilton, OH
National Provider Identifier
1053778100
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-5889 Issued in OH
Practice address
1302 Millville Ave
Hamilton, OH 45013-3961
Phone
(513) 867-4100
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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 SP-5889 OH Primary

Addresses

Primary practice location

1302 Millville Ave
Hamilton, OH 45013-3961

Mailing address

5240 Poets Way
Liberty TWP, OH 45011-5927
Phone (330) 416-0612

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP-5889OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1053778100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 POETS WAY",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450115927",
            "telephone_number": "330-416-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MILLVILLE AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133961",
            "telephone_number": "513-867-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCRANT",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "MED. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP-5889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.