Active NPI
Melissa Ann Villagomez, CFY-SLP
- Speech-Language Pathologist
- Gary, IN
National Provider Identifier
1487934451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 46002234A
- Practice address
- 2350 Taft St
Gary, IN 46404-3349 - Phone
- (219) 977-2600
- NPI assigned
- Aug 23, 2011
- 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 | 46002234A | IN | Primary |
Addresses
Primary practice location
2350 Taft St
Gary, IN 46404-3349
Mailing address
1800 N Wabash Rd Ste 203
Marion, IN 46952-1300
Phone (765) 651-3229
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46002234A | IN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1487934451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 N WABASH RD STE 203",
"city": "MARION",
"state": "IN",
"postal_code": "469521300",
"telephone_number": "765-651-3229",
"fax_number": "765-651-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 TAFT ST",
"city": "GARY",
"state": "IN",
"postal_code": "464043349",
"telephone_number": "219-977-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAGOMEZ",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "CFY-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-23",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "46002234A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.