Melissa Ann Ricks, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12284 Issued in TX

Practice address

110 Ruthlynn Dr
Longview, TX 75605-5634

Phone

(903) 757-7731

Fax

(903) 757-3756

NPI assigned

Jun 13, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• H2 Health and Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Tyler, TX
  • NPI 1861130015
  NPD (past)
• Sabine Valley Regional MHMR Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Longview, TX
  • NPI 1639232002
  NPD (past)
• Sabine Valley Regional MHMR Center

  • Specialist
  • Longview, TX
  • NPI 1821214537
  NPD (past)
• Sabine Valley Regional MHMR Center

  • Family Medicine Physician
  • Longview, TX
  • NPI 1841835022
  NPD (past)

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1073808671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 RUTHLYNN DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055634",
            "telephone_number": "903-757-7731",
            "fax_number": "903-757-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 RUTHLYNN DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055634",
            "telephone_number": "903-757-7731",
            "fax_number": "903-757-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "12284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Richardson
• Wesla Richardson
• Zane Brannan Richardson, PT,DPT,OCS
• Brian J Richey, ATP
• Spencer Rickers
• Frances Ridenour, FNP
• Ashley Brooke Riley, LVN
• David S. Risner Jr., M.D.
• Shanda Ritter
• Maria Rivera, LPC

• All providers in Longview, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.