Individual provider Active NPI

Melissa Marie Anderson

  • Speech-Language Pathologist
  • Orchard Park, NY
National Provider Identifier
1467933952
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3340 Baker Rd
Orchard Park, NY 14127-1495
Phone
(716) 662-0135
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

3340 Baker Rd
Orchard Park, NY 14127-1495

Mailing address

146 6TH Ave
Lancaster, NY 14086-3051
Phone (716) 472-8765

Other practice location 1

2045 School St
North Collins, NY 14111-9774
Phone (716) 337-0101

Other practice location 2

8685 Erie Rd
Angola, NY 14006-9620
Phone (716) 549-4454

Other practice location 3

10469 Bantle Rd
North Collins, NY 14111-9781
Phone (716) 337-0166

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York St Dept Educat N Collins Cntrl SCH Dist 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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1467933952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 6TH AVE",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140863051",
            "telephone_number": "716-472-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 BAKER RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271495",
            "telephone_number": "716-662-0135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 School St",
            "address_purpose": "LOCATION",
            "city": "North Collins",
            "state": "NY",
            "postal_code": "141119774",
            "country_code": "US",
            "telephone_number": "716-337-0101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8685 Erie Rd",
            "address_purpose": "LOCATION",
            "city": "Angola",
            "state": "NY",
            "postal_code": "140069620",
            "country_code": "US",
            "telephone_number": "716-549-4454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10469 Bantle Rd",
            "address_purpose": "LOCATION",
            "city": "North Collins",
            "state": "NY",
            "postal_code": "141119781",
            "country_code": "US",
            "telephone_number": "716-337-0166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.