Individual provider Active NPI

Melanie Greenbaum, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Kalispell, MT
National Provider Identifier
1063965572
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8883 Issued in MT
Practice address
55 Heritage Way
Kalispell, MT 59901-3100
Phone
(406) 471-9910
Fax
(406) 309-2076
NPI assigned
Aug 1, 2016
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X 15726 OR
Speech-Language Pathologist 235Z00000X 8883 MT Primary

Addresses

Primary practice location

55 Heritage Way
Kalispell, MT 59901-3100

Mailing address

500 12TH Ave W Ste 2a
Columbia Falls, MT 59912-3855
Phone (406) 471-9910

Other practice location 1

500 12th Ave W Ste 2A
Columbia Falls, MT 59912-3818
Phone (406) 471-1117

Other names 1

  • Melanie Triscuit Former name

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
8883MTMDSpeech-Language Pathologist
15726ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Beginnings Pediatric Therapy, LLC Speech-Language Pathologist CurrentSince Aug 1, 2020 Accepting new patients

Locations

500 12th Ave W
Ste 2A
Columbia Falls, MT 59912
Phone (406) 471-1117

1035 US Highway 2 W
Kalispell, MT 59901
Phone (406) 471-9910

55 Heritage Way
Kalispell, MT 59901
Phone (406) 471-1117

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1063965572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 12TH AVE W STE 2A",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599123855",
            "telephone_number": "406-471-9910",
            "fax_number": "406-309-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013100",
            "telephone_number": "406-471-9910",
            "fax_number": "406-309-2076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 12th Ave W Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Columbia Falls",
            "state": "MT",
            "postal_code": "599123818",
            "country_code": "US",
            "telephone_number": "406-471-1117",
            "fax_number": "406-309-2076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "MELANIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "15726",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "8883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "TRISCUIT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.