Melanie P Desmond, M.A. SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 6650 Issued in FL

Practice address

128 Woodlands Creek Dr
Ponte Vedra Beach, FL 32082-3217

Phone

(904) 616-3455

Fax

(904) 473-8933

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Beaches Speech Therapy

  • Developmental Therapist
  • Ponte Vedra Beach, FL
  • NPI 1386391381
  NPD Authorized official
• Melanie Desmond

  • Speech-Language Pathologist
  • Ponte Vedra Beach, FL
  • NPI 1104223395
  NPD Authorized official

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370736000000",
    "number": "1720203078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 WOODLANDS CREEK DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823217",
            "telephone_number": "904-616-3455",
            "fax_number": "904-473-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 WOODLANDS CREEK DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823217",
            "telephone_number": "904-616-3455",
            "fax_number": "904-473-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "MELANIE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "M.A. SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2013-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 6650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "887469700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Nicole De Bonis, D.M.D.
• Megan E Deacon-Casey, MD
• Deborah D. Hanna LCSW PA
• John Michael Dellaporta, D.M.D.
• Desmond Bell, DPM. CWS, P.a.
• Carolyn Irene Dewane, RD,LD
• Diagnostic Imaging PA
• Jorge Andres Diaz, M.D.
• Cheryl Anne Dietly
• Michaela Mayol Dimain, APRN

• Speech-Language Pathologist in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2013; 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.