Melissa Mazzaglia, SLP-CF

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP-4219 Issued in ID

Practice address

1508 W Cayuse Creek Dr Ste 100
Meridian, ID 83646-6135

Phone

(208) 996-0552

Fax

(208) 914-6597

NPI assigned

Jan 29, 2020

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Beyond Words Speech and Language Services LLC

  • Speech-Language Pathologist
  • Nampa, ID
  • NPI 1770192619
  Medicare reassignment NPD
• Small Talk Speech & Language Services

  • Speech-Language Pathologist
  • Meridian, ID
  • NPI 1790200202
  NPD

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1164053138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 W CAYUSE CREEK DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466135",
            "telephone_number": "208-996-0552",
            "fax_number": "208-914-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W CAYUSE CREEK DR STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836466135",
            "telephone_number": "208-996-0552",
            "fax_number": "208-914-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZAGLIA",
        "first_name": "MELISSA",
        "credential": "SLP-CF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "TSLP-4219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790200202",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TSLP-4219",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office@smalltalkpediatrictherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1508 W Cayuse Creek Dr Ste 100",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836466135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shane A Maxwell, D.O.
• Natalie Luella Jones Maybee, LMT
• Cebu H Maybury, MS, CCC-SLP
• Katerina Mayerle
• Olivia Southard Mayfield, AGPCNP-BC
• Kimberly J Mazzella, P.T
• Tristan Alyssa McAfee, LPC
• Leslie McBride
• Michael McCaleb
• Shemayne Jahner McCarthy, O.D.

• Speech-Language Pathologist in Meridian, ID
• Providers in Meridian, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.