Kristen Mellott

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

02520L Issued in MD

Practice address

10435 Downsville Pike
Hagerstown, MD 21740-1732

Phone

(301) 766-8222

NPI assigned

Aug 17, 2022

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

Locations

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.

• Board of Education of Washington County

  • Local Education Agency (LEA)
  • Hagerstown, MD
  • NPI 1336276682

  Speech-Language Pathologist

  NPD
• Washington County Early Intervention

  • Speech-Language Pathologist
  • Hagerstown, MD
  • NPI 1417082959
  NPD

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1124746078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 DOWNSVILLE PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401732",
            "telephone_number": "301-766-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 DOWNSVILLE PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401732",
            "telephone_number": "301-766-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOTT",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02520L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desirae Mehaffie, LCSWC
• Nikhil K. Mehta, MD FACS
• Blanca Soledad Mejia, MS,NL,CNS
• Catherine S. Melby, LCSW-C
• Gwendolyn Mellott, LCSWC
• Stephen Mellott, LCSWC
• Kylee Y Melvin
• Samantha Anne Memije
• Hannah Mendez
• Menocal Medical Services PA

• All providers in Hagerstown, MD
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.