Individual provider Active NPI

Melanie Ann Lizardi

  • Speech-Language Assistant
  • Lake Mary, FL
National Provider Identifier
1306731088
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
7903 Issued in FL
Practice address
1061 S Sun Dr Ste 1089
Lake Mary, FL 32746-6169
Phone
(407) 323-6955
NPI assigned
Jun 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355S0801X 7903 FL Primary

Addresses

Primary practice location

1061 S Sun Dr Ste 1089
Lake Mary, FL 32746-6169

Mailing address

441 Mohave Ter
Lake Mary, FL 32746-7015
Phone (407) 730-0438

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

State licenses

LicenseStateTypeSpecialty
7903FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Rehab, Inc. CurrentSince Jun 15, 2025 Accepting new patients

Locations

1061 S Sun Dr
Ste 1089
Lake Mary, FL 32746
Phone (407) 203-2369

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.

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1306731088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 MOHAVE TER",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467015",
            "telephone_number": "407-730-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 S SUN DR STE 1089",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466169",
            "telephone_number": "407-323-6955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDI",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "7903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.