Active NPI
Melanie Marie Waskom, CCC-SLP
- Speech-Language Pathologist
- Abbeville, LA
National Provider Identifier
1598882292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4507
- Practice address
- 217 White St
Abbeville, LA 70510-4615 - Phone
- (337) 898-1686
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 4507 | LA | Primary |
Addresses
Primary practice location
217 White St
Abbeville, LA 70510-4615
Mailing address
217 White St
Abbeville, LA 70510-4615
Phone (337) 898-1686
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841321924 | Other | LA | CLINIC NPI# |
| 4507 | Other | LA | SPEECH LANG PATH LIC# |
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 |
|---|---|---|---|
| 4507 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219795200000",
"number": "1598882292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 WHITE ST",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705104615",
"telephone_number": "337-898-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 WHITE ST",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705104615",
"telephone_number": "337-898-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASKOM",
"first_name": "MELANIE",
"middle_name": "MARIE",
"name_prefix": "Prof.",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2008-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "4507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINIC NPI#",
"identifier": "1841321924",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH LANG PATH LIC#",
"identifier": "4507",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Abbeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.