Active NPI
Melanie Wargo, SLP
- Speech-Language Pathologist
- Bridgeport, CT
National Provider Identifier
1477264018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 004281
- Practice address
- 45 Lyon Ter
Bridgeport, CT 06604-4023 - Phone
- (203) 260-0431
- NPI assigned
- Dec 5, 2022
- Reactivated
- Jul 9, 2024
- 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 | 004281 | CT | Primary |
Addresses
Primary practice location
45 Lyon Ter
Bridgeport, CT 06604-4023
Mailing address
155 Laurel PL
Bridgeport, CT 06604-1719
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@freedomsolutionsmedicalbilling.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1477264018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 LAUREL PL",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066041719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 LYON TER",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066044023",
"telephone_number": "203-260-0431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARGO",
"first_name": "MELANIE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"deactivation_date": "2024-06-27",
"reactivation_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CT",
"license": "004281",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@freedomsolutionsmedicalbilling.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2228 Black Rock Tpke",
"city": "Fairfield",
"state": "CT",
"country_code": "US",
"postal_code": "068253256",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.