Active NPI
Melanie Wang, MS, CCC-SLP
- Speech-Language Pathologist
- Fuquay Varina, NC
National Provider Identifier
1053982249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3640
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477030872 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3640 | KS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler Medical Providers | Past | Accepting new patients | |
| Therapy Tree Services PLLC | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Cary, NC
- NPI 1477030872
-
- Anatomic Pathology & Clinical Pathology Physician
- Butler, PA
- NPI 1447283031
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.