Individual provider Active NPI

Melody A Traylor, MA CCC-SLP

  • Speech-Language Pathologist
  • Dripping Springs, TX
National Provider Identifier
1760655070
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4685 Issued in AZ
Practice address
1011 Canyon Bend Dr
Dripping Springs, TX 78620-3913
Phone
(480) 259-7142
NPI assigned
Apr 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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 4685 AZ Primary

Addresses

Primary practice location

1011 Canyon Bend Dr
Dripping Springs, TX 78620-3913

Mailing address

1011 Canyon Bend Dr
Dripping Springs, TX 78620-3913
Phone (480) 259-7142

Other practice location 1

108 W University Dr
Mesa, AZ 85201-5818
Phone (480) 668-1917

Other identifiers 1

IdentifierTypeStateIssuer
002750MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914002789 AZ Practitioner - Qualified Speech Language Pathologist 0547624108 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4685AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mentis Reo, LLC. CurrentSince Aug 1, 2023 Accepting new patients
Advanced Therapy Solutions, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

690 E Warner Rd
Ste 105
Gilbert, AZ 85296
Phone (480) 820-6366

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": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1760655070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 CANYON BEND DR",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203913",
            "telephone_number": "480-259-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CANYON BEND DR",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "786203913",
            "telephone_number": "480-259-7142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852015818",
            "country_code": "US",
            "telephone_number": "480-668-1917",
            "fax_number": "480-668-2750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "MELODY",
        "middle_name": "A",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "4685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002750",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dripping Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.