Active NPI
Melissa Clarke Davis, SLP
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1639394547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12032546
- Practice address
- 4888 Loop Central Dr
Houston, TX 77081-2227 - Phone
- (713) 838-9050
- Fax
- (713) 838-0926
- NPI assigned
- Apr 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12032546 | TX | Primary |
Addresses
Primary practice location
4888 Loop Central Dr
Houston, TX 77081-2227
Mailing address
4888 Loop Central Drive
Houston, TX 77081
Phone (713) 838-9050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T3599 | Other | TX | BCBS |
| 1928488-01 | Medicaid | TN |
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 |
|---|---|---|---|
| 12032546 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1639394547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4888 LOOP CENTRAL DRIVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77081",
"telephone_number": "713-838-9050",
"fax_number": "713-838-0926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4888 LOOP CENTRAL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770812227",
"telephone_number": "713-838-9050",
"fax_number": "713-838-0926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MELISSA",
"middle_name": "CLARKE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "12032546",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8T3599",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1928488-01",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.