Individual provider Active NPI

Melanie Dawn Reynolds, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Waxahachie, TX
National Provider Identifier
1801395900
Registry record updated Feb 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
34103 Issued in TX
Practice address
138 Chestnut Rd
Waxahachie, TX 75165-7536
Phone
(214) 679-0235
NPI assigned
Feb 5, 2018
Last updated
Feb 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2018

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 34103 TX Primary

Addresses

Primary practice location

138 Chestnut Rd
Waxahachie, TX 75165-7536

Mailing address

138 Chestnut Rd
Waxahachie, TX 75165-7536
Phone (214) 679-0235

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
34103TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald City Therapies, PLLC Speech-Language Pathologist CurrentSince Dec 8, 2024 Accepting new patients

Locations

1002 Legacy Ranch Rd
Ste 104
Waxahachie, TX 75165
Phone (214) 399-8849

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1801395900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 CHESTNUT RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657536",
            "telephone_number": "214-679-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 CHESTNUT RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657536",
            "telephone_number": "214-679-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MELANIE",
        "middle_name": "DAWN",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "34103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.