Individual provider Active NPI

Melanie Kassuba

  • Speech-Language Assistant
  • Shelby, NC
National Provider Identifier
1750983714
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
265 Issued in NC
Practice address
270 Conifer Way
Shelby, NC 28150-7302
Phone
(828) 506-5701
Fax
(980) 701-0009
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 265 NC Primary

Addresses

Primary practice location

270 Conifer Way
Shelby, NC 28150-7302

Mailing address

270 Conifer Way
Shelby, NC 28150-7302
Phone (828) 506-5701

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
265NCMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wood SLP Services, Inc. Speech-Language Assistant CurrentSince Nov 15, 2020 Accepting new patients
Wood SLP Services, Inc. CurrentSince Nov 15, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1750983714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 CONIFER WAY",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281507302",
            "telephone_number": "828-506-5701",
            "fax_number": "980-701-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CONIFER WAY",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281507302",
            "telephone_number": "828-506-5701",
            "fax_number": "980-701-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSUBA",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NC",
            "license": "265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.