Melanie Jo Whitmore

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.006695

Practice address

1854 E Broadway
Alton, IL 62002-6664

Phone

(618) 474-2600

NPI assigned

Aug 18, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Alton Community Unit School District #11

  • Local Education Agency (LEA)
  • Alton, IL
  • NPI 1417093667
  NPD (past)

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1295251544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8712 WILDEWOOD DR",
            "city": "WORDEN",
            "state": "IL",
            "postal_code": "620971227",
            "telephone_number": "618-459-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 E BROADWAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026664",
            "telephone_number": "618-474-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITMORE",
        "first_name": "MELANIE",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "146.006695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Weusthoff
• Ann Whalen, BA
• Jordan White, BSW
• Tina White
• Marissa Whiteside
• Tiara La'Shay Wilburn
• Wilderman Chiropractic Center Inc
• Christopher A Wilderman, DC
• Bridget A Wilke, BSN,RN
• Dena L Williams, MSN, APRN, FNP-BC

• Speech-Language Pathologist in Alton, IL
• Providers in Alton, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.