Melissa Christine Wilson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

457 Issued in NM

Practice address

8 Calle Medico
681 Callecita Jicarilla
Santa Fe, NM 87505-4724

Phone

(505) 424-8777

Fax

(505) 424-9777

NPI assigned

Dec 12, 2006

Last updated

Apr 6, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Santa Fe Therapy Associates

  • Speech-Language Pathologist
  • Santa Fe, NM
  • NPI 1295900207
  Authorized official Same address or phone

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1952462145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24258",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875029258",
            "telephone_number": "505-424-8777",
            "fax_number": "505-424-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CALLE MEDICO",
            "address_2": "681 CALLECITA JICARILLA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054724",
            "telephone_number": "505-424-8777",
            "fax_number": "505-424-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MELISSA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Marie Willis
• Joel M Wilner, DPM
• Frances A Wilson, LPCC
• Lisa Ann Wilson, D.O.M
• Max E Wilson, LMFT
• Richard Wilson, LPCC
• Stanley Wilson, M.A,
• Susan Clement Wilson, MSC, MA, LGC, LMHC
• Deborah K Wimberly, M.ED.
• Michelle Windham

• Speech-Language Pathologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.