Individual provider Active NPI

Melissa Ann Fleming, MS CCC-SLP

  • Speech-Language Pathologist
  • Jenkins, KY
National Provider Identifier
1912299199
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
KY-2377 Issued in KY
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

Updated by the provider on Sep 24, 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 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

LicenseStateTypeSpecialty
KY-2377KYMDSpeech-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.

Verify at the official NPI Registry.