Individual provider Active NPI

Melissa Thomas, SPEECH THERAPIST

  • Speech-Language Pathologist
  • Henderson, KY
National Provider Identifier
1609293364
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
162797 Issued in KY
Practice address
2003 Stapp Dr Unit C
Henderson, KY 42420-1601
Phone
(270) 827-4857
Fax
(270) 827-9773
NPI assigned
Mar 19, 2014
Last updated
Apr 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 162797 KY Primary

Addresses

Primary practice location

2003 Stapp Dr Unit C
Henderson, KY 42420-1601

Mailing address

2003 Stapp Dr Unit C
Henderson, KY 42420-1601
Phone (270) 827-4857

Other identifiers 2

IdentifierTypeStateIssuer
184517OtherKYMEDICARE
45118379MedicaidKY

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

LicenseStateTypeSpecialty
162797KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Thomas Current Accepting new patients
Evolve Pediatrics, LLC Speech-Language Pathologist Past Accepting new patients

Locations

2003 Stapp Dr
Unit C
Henderson, KY 42420
Phone (270) 827-4857

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1609293364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 STAPP DR UNIT C",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424201601",
            "telephone_number": "270-827-4857",
            "fax_number": "270-827-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 STAPP DR UNIT C",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424201601",
            "telephone_number": "270-827-4857",
            "fax_number": "270-827-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MELISSA",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "162797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "184517",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45118379",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.