Individual provider Active NPI

Melody Lee Wenz, MA, CCC-SLP

  • Speech-Language Pathologist
  • Britton, SD
National Provider Identifier
1215275987
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12146908 Issued in SD
Practice address
1311 Vander Horck Ave.
Wheatcrest Hills
Britton, SD 57430
Phone
(605) 448-2251
NPI assigned
Jan 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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 12146908 SD Primary

Addresses

Primary practice location

1311 Vander Horck Ave.
Wheatcrest Hills
Britton, SD 57430

Mailing address

1311 Vander Horck Ave.
Wheatcrest Hills
Britton, SD 57430
Phone (605) 448-2251

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

LicenseStateTypeSpecialty
12146908SDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1215275987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 VANDER HORCK AVE.",
            "address_2": "WHEATCREST HILLS",
            "city": "BRITTON",
            "state": "SD",
            "postal_code": "57430",
            "telephone_number": "605-448-2251",
            "fax_number": "605-448-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 VANDER HORCK AVE.",
            "address_2": "WHEATCREST HILLS",
            "city": "BRITTON",
            "state": "SD",
            "postal_code": "57430",
            "telephone_number": "605-448-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENZ",
        "first_name": "MELODY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "12146908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Britton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.