Active NPI
Melanie Lockwood
- Early Intervention Provider Agency
- Surfside Beach, SC
National Provider Identifier
1407584865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Practice address
- 171 Marsh Deer PL
Surfside Beach, SC 29575-6204 - Phone
- (843) 550-0252
- NPI assigned
- Aug 12, 2022
- 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 |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | SC | Primary |
Addresses
Primary practice location
171 Marsh Deer PL
Surfside Beach, SC 29575-6204
Mailing address
171 Marsh Deer PL
Myrtle Beach, SC 29575-6204
Phone (843) 550-0252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252Y00000X | Medicaid | SC |
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": "1660262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1407584865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MARSH DEER PL",
"city": "MYRTLE BEACH",
"state": "SC",
"postal_code": "295756204",
"telephone_number": "843-550-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 MARSH DEER PL",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756204",
"telephone_number": "843-550-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "MELANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-12",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "SC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252Y00000X",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Surfside Beach, SC
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- Loren A Malkasian, M.A.; LMHC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.