Active NPI
Melissa Craven
- Speech-Language Pathologist
- Wilmington, NC
National Provider Identifier
1437882826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14413844
- Practice address
- 1638 Military Cutoff Rd
Wilmington, NC 28403-5751 - Phone
- (910) 502-9472
- NPI assigned
- Jul 5, 2022
- Last updated
- Jul 5, 2022
- 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 | 14413844 | NC | Primary |
Addresses
Primary practice location
1638 Military Cutoff Rd
Wilmington, NC 28403-5751
Mailing address
2809 Hackney Way
Jamestown, NC 27282-8643
Phone (336) 689-5760
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14413844 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Speech Therapy Inc | Speech-Language Pathologist | Current | Accepting new patients |
Locations
124 E Park Dr
Beulaville, NC 28518
Phone (888) 258-6905
1638 Military Cutoff Rd
Ste 100
Wilmington, NC 28403
Phone (888) 258-6905
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Wilmington, NC
- NPI 1750782462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1437882826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2809 HACKNEY WAY",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272828643",
"telephone_number": "336-689-5760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 MILITARY CUTOFF RD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035751",
"telephone_number": "910-502-9472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVEN",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "14413844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.