Active NPI
Melanie Grover
- Behavior Analyst
- Raleigh, NC
National Provider Identifier
1669960209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 5105 Bur Oak Cir
Raleigh, NC 27612-3160 - Phone
- (984) 664-3004
- NPI assigned
- Apr 30, 2018
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | NC | Primary |
Addresses
Primary practice location
5105 Bur Oak Cir
Raleigh, NC 27612-3160
Mailing address
620 McKnight Drive
Knightdale, NC 27545-3160
Phone (919) 739-2485
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1669960209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 MCKNIGHT DRIVE",
"city": "KNIGHTDALE",
"state": "NC",
"postal_code": "275453160",
"telephone_number": "919-739-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 BUR OAK CIR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276123160",
"telephone_number": "984-664-3004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVER",
"first_name": "MELANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-30",
"last_updated": "2024-10-15",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.