Individual provider Active NPI

Melanie Wang, MS, CCC-SLP

  • Speech-Language Pathologist
  • Fuquay Varina, NC
National Provider Identifier
1053982249
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3640 Issued in KS
Practice address
7125 Winter Pond Way
Fuquay Varina, NC 27526-5486
Phone
(919) 348-9174
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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 3640 KS Primary

Addresses

Primary practice location

7125 Winter Pond Way
Fuquay Varina, NC 27526-5486

Mailing address

7125 Winter Pond Way
Fuquay Varina, NC 27526-5486
Phone (919) 348-9174

Other identifiers 1

IdentifierTypeStateIssuer
1477030872MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meghan@therapytreeservices.com

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3640KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers Past Accepting new patients
Therapy Tree Services PLLC Speech-Language Pathologist PastSince Jul 17, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1053982249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 WINTER POND WAY",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265486",
            "telephone_number": "919-348-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 WINTER POND WAY",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275265486",
            "telephone_number": "919-348-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "MELANIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "3640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477030872",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meghan@therapytreeservices.com",
            "affiliation": "N",
            "address_1": "7125 Winter Pond Way",
            "city": "Fuquay Varina",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275265486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.