Melissa Lynn Pool, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14079 Issued in TX

Practice address

3540 NE Stallings Dr
Nacogdoches, TX 75965-8708

Phone

(936) 639-3007

Fax

(936) 639-3012

NPI assigned

Apr 27, 2011

Last updated

Apr 27, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Lynn Watkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Speech & Language Services, PLLC

  • Speech-Language Pathologist
  • Lufkin, TX
  • NPI 1093993941
  NPD (past)

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1679864417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 952",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759020952",
            "telephone_number": "936-639-3007",
            "fax_number": "936-639-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 NE STALLINGS DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759658708",
            "telephone_number": "936-639-3007",
            "fax_number": "936-639-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "14079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "WATKINS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vijaya R Pokala, M.D., F.A.C.C.
• Aaron C Polk Jr., MD
• Aaron Christopher Polk, D.D.S.
• Jonathan Daniel Polk, M.D.
• Sarah Ponder
• Rebecca Porterfield, MA, LPC-A
• Robert Peyton Porterfield, MA, LPC
• Kalen Macalpine Poston, DPT
• Gary E Poulson, RPH
• Derek Powers, DDS

• Speech-Language Pathologist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.