Shira Meltzer, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115454 Issued in TX

Practice address

6910 Old Preston PL
Dallas, TX 75252-5780

Phone

(972) 589-1803

NPI assigned

Sep 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1407404445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 OLD PRESTON PL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525780",
            "telephone_number": "972-589-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 OLD PRESTON PL",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525780",
            "telephone_number": "972-589-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELTZER",
        "first_name": "SHIRA",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "address_1": "6910 Old Preston Pl",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752525780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Melton
• Shelby Melton, M.D.
• Tristena Melton, RN, CPNP
• Amanda Lillian Meltzer, M.D.
• David William Meltzer, PH.D., M.D.
• Vonzell Loray Melvin
• Wish Mema, ACNP-BC
• Hossein Memarpour
• Rayaan Memon
• Memory Clinic of Texas

• Speech-Language Pathologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.