Active NPI
Melissa A. Lievano-Gomes, M.S. SLP
- Speech-Language Pathologist
- Winter Haven, FL
National Provider Identifier
1437399839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ4555
- Practice address
- 790 6TH St NW
Winter Haven, FL 33881-4013 - Phone
- (863) 229-8319
- Fax
- (863) 229-8492
- NPI assigned
- Feb 24, 2009
- 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 | SZ4555 | FL | Primary |
Addresses
Primary practice location
790 6TH St NW
Winter Haven, FL 33881-4013
Mailing address
2234 Black Lake Blvd
Winter Garden, FL 34787-4658
Phone (407) 654-5048
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ4555 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baby Steps, Inc. | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1437399839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 BLACK LAKE BLVD",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347874658",
"telephone_number": "407-654-5048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 6TH ST NW",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814013",
"telephone_number": "863-229-8319",
"fax_number": "863-229-8492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEVANO-GOMES",
"first_name": "MELISSA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "M.S. SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ4555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.