Melissa M Davis, MS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2023030547 Issued in MO

Practice address

201 NE Anderson Dr
Lees Summit, MO 64064-1287

Phone

(816) 874-3720

NPI assigned

Sep 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa M Durst Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1538947486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 NW RIVEN ROCK TRL",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812084",
            "telephone_number": "816-509-2744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 NE ANDERSON DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641287",
            "telephone_number": "816-874-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2023030547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "DURST",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gretchen Davis, FNP-C
• John M. Davis II, M.D.
• Katherine Sydney Davis, FNP-C
• Kayla Michelle Davis, RBT
• Kristin Davis, APN
• Paula Jane Davis, MD
• Crystal Dawn Davison, APRN
• Joshua Ray Dawdy, DDS
• Mark Dawdy, FNP-C
• Day-by-Day Staff Relief, LLC

• Speech-Language Pathologist in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.