Active NPI
Melissa Pringle, SLP
- Speech-Language Pathologist
- Portland, TX
National Provider Identifier
1407905656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18827
- Practice address
- 200 Marriott Dr
Portland, TX 78374-2213 - Phone
- (361) 777-3991
- Fax
- (361) 777-0610
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 18827 | TX | Primary |
Addresses
Primary practice location
200 Marriott Dr
Portland, TX 78374-2213
Mailing address
200 Marriott Dr
Portland, TX 78374-2213
Phone (361) 777-3991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T3796 | Other | TX | BLUE CROSS |
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 |
|---|---|---|---|
| 18827 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407905656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MARRIOTT DR",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783742213",
"telephone_number": "361-777-3991",
"fax_number": "361-777-0610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MARRIOTT DR",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783742213",
"telephone_number": "361-777-3991",
"fax_number": "361-777-0610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINGLE",
"first_name": "MELISSA",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18827",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8T3796",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.