Melissa Kucyk

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

200203 Issued in AR

Practice address

979 Weston St
Pea Ridge, AR 72751-2628

Phone

(800) 451-0032

NPI assigned

Aug 20, 2018

Last updated

Aug 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stein Ancillary Services, LLCGroup PAC ID 1153374046, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stein Ancillary Services, LLC

  • Rehabilitation Practitioner
  • Fort Smith, AR
  • NPI 1073591582

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Wolf Wellness Center, PLLC

  • Rehabilitation Clinic/Center
  • Holiday Island, AR
  • NPI 1588037196
  Medicare reassignment NPD
• Spine and Sports Therapy LLC

  • Physical Therapist
  • Lowell, AR
  • NPI 1730454935
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1417437385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 SW 3RD ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125768",
            "telephone_number": "618-303-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 WESTON ST",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727512628",
            "telephone_number": "800-451-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCYK",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "200203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayli Olivia Humphreys, LCSW
• Jacob Cain Hutchcraft, LMT
• Jennifer Levart
• Logan T Jones, DDS
• Keri L Timmons Ms LPC NCC Licensed Professional Counseling
• Tabitha Mayberry, SLP
• Josie Diane McMillan, MMT
• Renita L Moore, RN
• Russell Thomas Morter, DC
• Mary Emily Mountifield, PHARMD

• Speech-Language Pathologist in Pea Ridge, AR
• Providers in Pea Ridge, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.