Active NPI
Melissa S Roth, MSCCCSLP
- Speech-Language Pathologist
- Charlotte, NC
National Provider Identifier
1366582033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13497
- Practice address
- 17213 Rider Wood LN
Charlotte, NC 28278-8639 - Phone
- (864) 483-5403
- NPI assigned
- Feb 8, 2007
- 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 | 13497 | NC | Primary |
Addresses
Primary practice location
17213 Rider Wood LN
Charlotte, NC 28278-8639
Mailing address
1326 E Washington St
Greenville, SC 29607-1840
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13497 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1366582033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 E WASHINGTON ST",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296071840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17213 RIDER WOOD LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282788639",
"telephone_number": "864-483-5403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTH",
"first_name": "MELISSA",
"middle_name": "S",
"credential": "MSCCCSLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Leah Roten
- Roth & Cox DDS PA (carolina dental arts of Ballatyne)
- Roth & Robinson DDS PA (carolina dental arts @ Southpark)
- Roth & Robinson DDS, PA (carolina dental arts)
- Roth & Robinson, DDS, PA
- Rachel Lauren Roth, MD
- Steven Michael Roth
- Elaine Smith Rothenbach, PA
- Alexander Rothkrug, M.D., D.ABA
- Richard Kyle Rothman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.