Melissa Tait Brush, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202010325 Issued in VA

Practice address

3315 Purvis Rd
Quantico, VA 22134-2101

Phone

(571) 660-9565

NPI assigned

May 19, 2022

Last updated

May 19, 2022By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1467199406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 FARRAGUT DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225542307",
            "telephone_number": "540-706-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 PURVIS RD",
            "city": "QUANTICO",
            "state": "VA",
            "postal_code": "221342101",
            "telephone_number": "571-660-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSH",
        "first_name": "MELISSA",
        "middle_name": "TAIT",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Branch Medical Clinic Ocs Brown Field
• Branch Medical Clinic the Basic School
• Elise Cooper Brandon, M.D.
• Izaskun Yvonne Brown, COHC
• Lorna Millar Brunhofer, D.M.D.
• Marilyn S Buchheister, ED.D.
• Kathleen M. Buday, MSW
• Han Q Bui, M.D.
• Kim B Burgess, PHD
• James Alan Butcher

• Speech-Language Pathologist in Quantico, VA
• Providers in Quantico, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.