Individual provider Active NPI

Melissa Dowdy

  • Speech-Language Pathologist
  • Clarksville, TN
National Provider Identifier
1700429891
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6349 Issued in TN
Practice address
130 Hillcrest Dr Ste 102
Clarksville, TN 37043-5064
Phone
(615) 319-5132
NPI assigned
Oct 22, 2019
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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 6349 TN Primary

Addresses

Primary practice location

130 Hillcrest Dr Ste 102
Clarksville, TN 37043-5064

Mailing address

130 Hillcrest Dr Ste 102
Clarksville, TN 37043-5064
Phone (615) 319-5132

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
6349TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kids-at-Play Pediatric Therapy Services, LLC CurrentSince Sep 23, 2021 Accepting new patients

Locations

130 Hillcrest Dr
Ste 102
Clarksville, TN 37043
Phone (615) 319-5132

Organizations & group practices 1

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1700429891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HILLCREST DR STE 102",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435064",
            "telephone_number": "615-319-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HILLCREST DR STE 102",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435064",
            "telephone_number": "615-319-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDY",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.