Active NPI
Melissa Monaghan, M.A., CCC-SLP
- Speech-Language Pathologist
- Brandon, MS
National Provider Identifier
1184962086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S3873
- Practice address
- 506 Kate Lofton Dr
Brandon, MS 39047-8329 - Phone
- (601) 927-3795
- Fax
- (888) 408-8272
- NPI assigned
- Jan 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | S3873 | MS | Primary |
Addresses
Primary practice location
506 Kate Lofton Dr
Brandon, MS 39047-8329
Mailing address
506 Kate Lofton Dr
Brandon, MS 39047-8329
Phone (601) 927-3795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08009271 | Medicaid | MS |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3873 | MS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Therapy Services, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Little Chatterbox Speech-Language & Hearing Solutions, LLC | Past | Accepting new patients |
Organizations & group practices 2
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
- Flowood, MS
- NPI 1891489266
-
- Home Health Agency
- Brandon, MS
- NPI 1770868572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1184962086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 KATE LOFTON DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390478329",
"telephone_number": "601-927-3795",
"fax_number": "888-408-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 KATE LOFTON DR",
"city": "BRANDON",
"state": "MS",
"postal_code": "390478329",
"telephone_number": "601-927-3795",
"fax_number": "888-408-8272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONAGHAN",
"first_name": "MELISSA",
"name_prefix": "Miss",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-28",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S3873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08009271",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.