Active NPI
Melody R Chavez, SLP
- Speech-Language Pathologist
- San Antonio, TX
National Provider Identifier
1801090584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19759
- Practice address
- 2203 Babcock Rd
San Antonio, TX 78229-4412 - Phone
- (210) 614-3900
- Fax
- (210) 616-0443
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 19759 | TX | Primary |
Addresses
Primary practice location
2203 Babcock Rd
San Antonio, TX 78229-4412
Mailing address
2203 Babcock Rd
San Antonio, TX 78229-4412
Phone (210) 614-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19759 | Other | TX | SPEECH-LANGUAGE PATHOLOGI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19759 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1801090584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 BABCOCK RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294412",
"telephone_number": "210-614-3900",
"fax_number": "210-616-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 BABCOCK RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294412",
"telephone_number": "210-614-3900",
"fax_number": "210-616-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "MELODY",
"middle_name": "R",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "19759",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH-LANGUAGE PATHOLOGI",
"identifier": "19759",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.