Individual provider Active NPI

Davnee' Cari Wilson-Melebeck, SLP

  • Speech-Language Pathologist
  • Desoto, TX
National Provider Identifier
1831427491
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102997 Issued in TX
Practice address
1619 N Hampton Rd
Desoto, TX 75115-2303
Phone
(972) 331-6335
Fax
(214) 330-2445
NPI assigned
Nov 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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 102997 TX Primary

Addresses

Primary practice location

1619 N Hampton Rd
Desoto, TX 75115-2303

Mailing address

1619 N Hampton Rd
Desoto, TX 75115-2303
Phone (972) 331-6335

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
102997TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1831427491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152303",
            "telephone_number": "972-331-6335",
            "fax_number": "214-330-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152303",
            "telephone_number": "972-331-6335",
            "fax_number": "214-330-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON-MELEBECK",
        "first_name": "DAVNEE'",
        "middle_name": "CARI",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-19",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.