Melissa W Stewart, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22005277A Issued in IN

Practice address

4004 Dupont Circle
Suite 220
Louisville, KY 40217-4761

Phone

(502) 893-0159

Fax

(502) 213-3843

NPI assigned

Jun 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Melissa W Vitale Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Merit Anesthesia PLLC

  • Certified Registered Nurse Anesthetist
  • Knoxville, TN
  • NPI 1366624967
  NPD (past)

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1609160803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 S BIRCHWOOD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402062632",
            "telephone_number": "502-893-0159",
            "fax_number": "502-213-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 DUPONT CIRCLE",
            "address_2": "SUITE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402174761",
            "telephone_number": "502-893-0159",
            "fax_number": "502-213-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MELISSA",
        "middle_name": "W",
        "name_prefix": "Mrs.",
        "credential": "CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "2355",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005277A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "VITALE",
            "middle_name": "W",
            "credential": "CCC/SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Holly Stewart
• Jacqueline F Stewart
• Jada Stewart, CDT (GBI)
• Joshua David Stewart, MD
• Kenyetta Stewart, RN
• Natalie Louise Stewart, M.D.
• Natoya N Stewart, APRN
• Pamela Stewart, APRN
• Pamela Kay Stewart, CRNA
• Robert Calvert Stewart, M.D.

• Speech-Language Pathologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.

Verify at the official NPI Registry.