Melanie Pesek

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115155 Issued in TX

Practice address

712 N Washington Ave
Dallas, TX 75246-1619

Phone

(855) 435-3828

NPI assigned

Oct 1, 2018

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

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1093290454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 PROSPECT RIDGE DR APT 10306",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761102577",
            "telephone_number": "918-855-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 N WASHINGTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461619",
            "telephone_number": "855-435-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESEK",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Saleem Pervez, FNP
• Pervia Medical Transport LLC
• Farihah Badar Perwez, M.D.
• Jose H Pesantes Flores
• Jay Mark Pescatore, DO
• Ronald Michael Peshock, MD
• Gary Pesicka, MD
• Yuval N. Pessach, MD
• Deborah Lynn Pessin, CRNA
• Peter B. Derman, MD, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.