Individual provider Active NPI

Melanie Upright, MS, CCC-SLP

  • Speech-Language Pathologist
  • La Plata, MD
National Provider Identifier
1336610344
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
04016 Issued in MD
Practice address
5980 Radio Station Rd
La Plata, MD 20646-3337
Phone
(301) 392-7522
NPI assigned
Dec 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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 04016 MD Primary

Addresses

Primary practice location

5980 Radio Station Rd
La Plata, MD 20646-3337

Mailing address

5980 Radio Station Rd
La Plata, MD 20646-3337
Phone (301) 392-7522

Other identifiers 2

IdentifierTypeStateIssuer
04016OtherMDDHMH
12003810OtherMDASHA CERTIFICATE OF CLINICAL COMPETENCE

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

LicenseStateTypeSpecialty
04016MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles County Board of Education 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.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1336610344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 RADIO STATION RD",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463337",
            "telephone_number": "301-392-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 RADIO STATION RD",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206463337",
            "telephone_number": "301-392-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPRIGHT",
        "first_name": "MELANIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "04016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHMH",
            "identifier": "04016",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA CERTIFICATE OF CLINICAL COMPETENCE",
            "identifier": "12003810",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.