Melanie Edlin

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

License

200402743 Issued in KY

Legal business name

MELANIE EDLIN

Practice address

395 Youngers Creek Rd
Elizabethtown, KY 42701-7788

Phone

(207) 763-9404

NPI assigned

Jan 17, 2013

Last updated

Nov 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melanie Sue EdlinNPI 1467801944

Title

Developmental Interventionist

Phone

(270) 763-9404

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Edlin

  • Developmental Therapist
  • Elizabethtown, KY
  • NPI 1467801944
  NPD (past) Authorized official

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1720326341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 YOUNGERS CREEK RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017788",
            "telephone_number": "207-763-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 YOUNGERS CREEK RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017788",
            "telephone_number": "207-763-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE EDLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "EDLIN",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DEVELOPMENTAL INTERVENTIONIST",
        "authorized_official_telephone_number": "270-763-9404",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "200402743",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "KY",
            "license": "200402743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley McNerlin
• Aaron E Medley, MD
• Ingrid Medley, ARNP
• Daksha P Mehta, MD
• Prabodh Mehta, M.D.
• Charley Shea Melson, LPCA
• Janeen Melvin
• Member Medical, Inc.
• Mended Wings Inc
• Katherine Mendez-Moore, MSOT

• Developmental Therapist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Developmental Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.