Active NPI
Melissa Ann Bellaflores, M.A., CCC-SLP
- Speech-Language Pathologist
- Winter Park, FL
National Provider Identifier
1144416355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA9074
- Practice address
- 140 N Orlando Ave
Ste. 130
Winter Park, FL 32789-3606 - Phone
- (407) 622-7177
- Fax
- (407) 628-8382
- NPI assigned
- Sep 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA9074 | FL | Primary |
Addresses
Primary practice location
140 N Orlando Ave
Ste. 130
Winter Park, FL 32789-3606
Mailing address
140 N Orlando Ave
Ste. 130
Winter Park, FL 32789-3606
Phone (407) 622-7177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA9074 | Other | FL | SPEECH LICENSE |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA9074 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1144416355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 N ORLANDO AVE",
"address_2": "STE. 130",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327893606",
"telephone_number": "407-622-7177",
"fax_number": "407-628-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N ORLANDO AVE",
"address_2": "STE. 130",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327893606",
"telephone_number": "407-622-7177",
"fax_number": "407-628-8382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLAFLORES",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LICENSE",
"identifier": "SA9074",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.