Active NPI
Melynda Wyatt
- Early Intervention Provider Agency
- Henderson, KY
National Provider Identifier
1376450270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 2643 E Daffodil CT
Henderson, KY 42420-3484 - Phone
- (256) 698-9270
- NPI assigned
- Aug 26, 2026
- Last updated
- Sep 9, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Early Intervention Provider Agency | 252Y00000X | KY | Primary |
Addresses
Primary practice location
2643 E Daffodil CT
Henderson, KY 42420-3484
Mailing address
2643 E Daffodil CT
Henderson, KY 42420-3484
Phone (256) 698-9270
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1376450270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2643 E DAFFODIL CT",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424203484",
"telephone_number": "256-698-9270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2643 E DAFFODIL CT",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424203484",
"telephone_number": "256-698-9270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYATT",
"first_name": "MELYNDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-26",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "KY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.