Active NPI
Melanie Danielle McNutt, M.A. CCC-SLP
- Speech-Language Pathologist
- Washington, DC
National Provider Identifier
1508243593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP001034
- Practice address
- 2600 Douglass Rd SE
Washington, DC 20020-6504 - Phone
- (202) 569-0532
- NPI assigned
- Apr 29, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Speech-Language Pathologist | 235Z00000X | SLP001034 | DC | Primary |
Addresses
Primary practice location
2600 Douglass Rd SE
Washington, DC 20020-6504
Mailing address
2600 Virginia Ave NW Ste 900
Washington, DC 20037-1930
Other practice location 1
9470 Annapolis Rd
Suite 416
Lanham, MD 20706-3025
Phone (301) 577-4333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508243593 | Medicaid | MD |
Other names 1
- Melanie Danielle Blanks
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP001034 | DC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1508243593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 VIRGINIA AVE NW STE 900",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200371930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 DOUGLASS RD SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200206504",
"telephone_number": "202-569-0532"
}
],
"practiceLocations": [
{
"address_1": "9470 Annapolis Rd",
"address_2": "Suite 416",
"address_purpose": "LOCATION",
"city": "Lanham",
"state": "MD",
"postal_code": "207063025",
"country_code": "US",
"telephone_number": "301-577-4333",
"fax_number": "301-577-5180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNUTT",
"first_name": "MELANIE",
"middle_name": "DANIELLE",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DC",
"license": "SLP001034",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1508243593",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "BLANKS",
"middle_name": "DANIELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.