Active NPI
Melissa Smith
- Speech-Language Pathologist
- Portland, ME
National Provider Identifier
1821543588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP2668
- Practice address
- 587 Ocean Ave
Portland, ME 04103-2701 - Phone
- (207) 871-1582
- NPI assigned
- Aug 23, 2016
- 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 | SP2668 | ME | Primary |
Addresses
Primary practice location
587 Ocean Ave
Portland, ME 04103-2701
Mailing address
20 Garfield St Apt 4a
Saco, ME 04072-2408
Phone (207) 299-2867
Other practice location 1
67 Pine Point Rd
Scarborough, ME 04074-8813
Phone (207) 883-2468
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 |
|---|---|---|---|
| SP2668 | ME | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1821543588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 GARFIELD ST APT 4A",
"city": "SACO",
"state": "ME",
"postal_code": "040722408",
"telephone_number": "207-299-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 OCEAN AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041032701",
"telephone_number": "207-871-1582"
}
],
"practiceLocations": [
{
"address_1": "67 Pine Point Rd",
"address_purpose": "LOCATION",
"city": "Scarborough",
"state": "ME",
"postal_code": "040748813",
"country_code": "US",
"telephone_number": "207-883-2468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-23",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP2668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.