Active NPI
Melissa A Caravello, M.S., CCC-SLP
- Speech-Language Pathologist
- Kingsport, TN
National Provider Identifier
1174556716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3214
- Practice address
- 404 Revere St
Kingsport, TN 37660-3671 - Phone
- (423) 246-4600
- Fax
- (423) 246-3311
- NPI assigned
- Jul 8, 2006
- 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 | 3214 | TN | Primary |
Addresses
Primary practice location
404 Revere St
Kingsport, TN 37660-3671
Mailing address
301 Louis St
Ste 101
Kingsport, TN 37660
Phone (423) 246-4600
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3214 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Region Speech and Hearing Center | Speech-Language Pathologist | Past | 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.
-
- Speech-Language Pathologist
- Kingsport, TN
- NPI 1861427783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1174556716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LOUIS ST",
"address_2": "STE 101",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37660",
"telephone_number": "423-246-4600",
"fax_number": "423-246-3311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 REVERE ST",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603671",
"telephone_number": "423-246-4600",
"fax_number": "423-246-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARAVELLO",
"first_name": "MELISSA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-08",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "3214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.