Individual provider Active NPI

Jessica Melaragno

  • Speech-Language Pathologist
  • Mentor, OH
National Provider Identifier
1477203107
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA23067 Issued in FL
Practice address
7537 Mentor Ave Ste 303
Mentor, OH 44060-5463
Phone
(440) 567-7166
NPI assigned
Mar 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 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 SA23067 FL Primary

Addresses

Primary practice location

7537 Mentor Ave Ste 303
Mentor, OH 44060-5463

Mailing address

7537 Mentor Ave Ste 303
Mentor, OH 44060-5463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240911003886 OH Practitioner - Qualified Speech Language Pathologist 4688114028 Reassigns benefits to 1 organization
I20241024001142 FL Practitioner - Qualified Speech Language Pathologist 4688114028 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Pediatric Speech & Language Therapy, LLC Speech-Language Pathologist CurrentSince Aug 7, 2022 Accepting new patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Oct 25, 2024 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257

300 E Business Way
Cincinnati, OH 45241
Phone (513) 349-1014

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

7537 Mentor Ave
Ste 303
Mentor, OH 44060
Phone (440) 252-1909

300 E Business Way
Ste 200
Sharonville, OH 45241
Phone (513) 224-3597

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 2

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": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1477203107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7537 MENTOR AVE STE 303",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7537 MENTOR AVE STE 303",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605463",
            "telephone_number": "440-567-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELARAGNO",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA23067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.