Active NPI
Jennifer Melton
- Developmental Therapist
- Indianapolis, IN
National Provider Identifier
1861982142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 6330 E 75TH St Ste 206
Indianapolis, IN 46250-2700 - Phone
- (317) 363-3798
- NPI assigned
- May 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
6330 E 75TH St Ste 206
Indianapolis, IN 46250-2700
Mailing address
17823 Aviara Dr
Noblesville, IN 46062-7715
Phone (317) 363-3798
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526169600000",
"number": "1861982142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17823 AVIARA DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460627715",
"telephone_number": "317-363-3798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6330 E 75TH ST STE 206",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502700",
"telephone_number": "317-363-3798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-13",
"last_updated": "2018-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.