Individual provider Active NPI

Melissa Joy Charlson, CCC-SLP

  • Speech-Language Pathologist
  • North Liberty, IA
National Provider Identifier
1154022762
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1178 Issued in IA
Practice address
710 Pacha Pkwy Unit 3
North Liberty, IA 52317-4824
Phone
(515) 219-7254
NPI assigned
Mar 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 1178 IA Primary

Addresses

Primary practice location

710 Pacha Pkwy Unit 3
North Liberty, IA 52317-4824

Mailing address

1701 NW Norton CT
Grimes, IA 50111-4602
Phone (515) 249-5875

Other names 1

  • Melissa Joy Delutri Former name

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

State licenses

LicenseStateTypeSpecialty
01178IAMDOccupational Therapist
1178IAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1154022762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NW NORTON CT",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501114602",
            "telephone_number": "515-249-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 PACHA PKWY UNIT 3",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174824",
            "telephone_number": "515-219-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLSON",
        "first_name": "MELISSA",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "1178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DELUTRI",
            "middle_name": "JOY",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.