Active NPI
Melissa Ann Fleming, MS CCC-SLP
- Speech-Language Pathologist
- Jenkins, KY
National Provider Identifier
1912299199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- KY-2377
- Practice address
- 180 Payne Gap Dr
Jenkins, KY 41537 - Phone
- (276) 337-9490
- NPI assigned
- May 6, 2011
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | KY-2377 | KY | Primary |
Addresses
Primary practice location
180 Payne Gap Dr
Jenkins, KY 41537
Mailing address
9808 Coeburn Mountain Rd
Wise, VA 24293-7324
Phone (276) 337-9490
Other practice location 1
228 Lakeside Drive
Jenkins, KY 41537
Phone (276) 337-9490
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
| License | State | Type | Specialty |
|---|---|---|---|
| KY-2377 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1912299199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9808 COEBURN MOUNTAIN RD",
"city": "WISE",
"state": "VA",
"postal_code": "242937324",
"telephone_number": "276-337-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 PAYNE GAP DR",
"city": "JENKINS",
"state": "KY",
"postal_code": "41537",
"telephone_number": "276-337-9490"
}
],
"practiceLocations": [
{
"address_1": "228 Lakeside Drive",
"address_purpose": "LOCATION",
"city": "Jenkins",
"state": "KY",
"postal_code": "41537",
"country_code": "US",
"telephone_number": "276-337-9490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEMING",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "MS CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-06",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "KY-2377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenkins, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.