Active NPI
Melissa Ann Cleary, M.S CCC-SLP
- Speech-Language Pathologist
- Advance, NC
National Provider Identifier
1942464466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6775
- Practice address
- 142 Bermuda Village Dr
Advance, NC 27006-7867 - Phone
- (996) 940-6433
- NPI assigned
- Jul 14, 2008
- 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 | 6775 | NC | Primary |
Addresses
Primary practice location
142 Bermuda Village Dr
Advance, NC 27006-7867
Mailing address
142 Bermuda Village Dr
Advance, NC 27006-7867
Phone (996) 940-6433
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 |
|---|---|---|---|
| 6775 | NC | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1942464466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 BERMUDA VILLAGE DR",
"city": "ADVANCE",
"state": "NC",
"postal_code": "270067867",
"telephone_number": "996-940-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 BERMUDA VILLAGE DR",
"city": "ADVANCE",
"state": "NC",
"postal_code": "270067867",
"telephone_number": "996-940-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEARY",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "M.S CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "6775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Advance, NC
- Gary W Chilton, LPTA
- Chiropractic Research Institute Inc
- David Chiu, MD
- Jaclyn Christofferson
- Andrea Walser Clark, NCC, LPC
- Bonnie Jean Coe, COTA/L
- John Collins, COTA
- Christa Cook
- Cornerstone Health Care PA (Advance Neurology and Pain)
- Cornerstone Health Care, PA (Cornerstone Behavioral Medicine at ANAP)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.