Individual provider Active NPI

Melissa Grace Pirkle, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Atascadero, CA
National Provider Identifier
1124532700
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP28069 Issued in CA
Practice address
5185 Mercedes Ave
Atascadero, CA 93422-4362
Phone
(805) 471-7483
NPI assigned
Nov 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 SP28069 CA Primary

Addresses

Primary practice location

5185 Mercedes Ave
Atascadero, CA 93422-4362

Mailing address

5185 Mercedes Ave
Atascadero, CA 93422-4362
Phone (805) 471-7483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210421000840 CA Practitioner - Qualified Speech Language Pathologist 5092123620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5185 Mercedes Ave
Atascadero, CA 93422-4362
Phone 8052880500100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP28069CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
North County Swallow & Speech Pathology, PC Speech-Language Pathologist CurrentSince Jun 8, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1124532700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 MERCEDES AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224362",
            "telephone_number": "805-471-7483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5185 MERCEDES AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224362",
            "telephone_number": "805-471-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIRKLE",
        "first_name": "MELISSA",
        "middle_name": "GRACE",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-19",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP28069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.