Active NPI
Melissa Villanueva
- Occupational Therapist
- Allen, TX
National Provider Identifier
1417323924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 118749
- Practice address
- 1451 S Greenville Ave
Allen, TX 75002-4186 - Phone
- (844) 317-1200
- NPI assigned
- Aug 19, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 019901-1 | NY | |
| Occupational Therapist | 225X00000X | 118749 | TX | Primary |
Addresses
Primary practice location
1451 S Greenville Ave
Allen, TX 75002-4186
Mailing address
876 Merino Dr
Allen, TX 75013-6126
Other practice location 1
2300 McDermott Rd Ste 200
Plano, TX 75025-7017
Phone (972) 587-9502
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 |
|---|---|---|---|
| 019901-1 | NY | MD | Speech-Language Pathologist |
| 118749 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1417323924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "876 MERINO DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750136126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 S GREENVILLE AVE",
"city": "ALLEN",
"state": "TX",
"postal_code": "750024186",
"telephone_number": "844-317-1200"
}
],
"practiceLocations": [
{
"address_1": "2300 McDermott Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750257017",
"country_code": "US",
"telephone_number": "972-587-9502",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "019901-1",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "118749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.