Active NPI
Lacy Lynn Melton, M.S.
- Speech-Language Pathologist
- Palm Coast, FL
National Provider Identifier
1982032272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ 6408
- Practice address
- 4875 Palm Coast Pkwy NW
Suite 2
Palm Coast, FL 32137-3670 - Phone
- (386) 446-9935
- NPI assigned
- Oct 23, 2013
- Last updated
- Oct 23, 2013
- 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 | SZ 6408 | FL | Primary |
Addresses
Primary practice location
4875 Palm Coast Pkwy NW
Suite 2
Palm Coast, FL 32137-3670
Mailing address
2211 Unity Tree Dr
Edgewater, FL 32141-4309
Phone (386) 689-9190
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 |
|---|---|---|---|
| SZ 6408 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1982032272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 UNITY TREE DR",
"city": "EDGEWATER",
"state": "FL",
"postal_code": "321414309",
"telephone_number": "386-689-9190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4875 PALM COAST PKWY NW",
"address_2": "SUITE 2",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321373670",
"telephone_number": "386-446-9935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "LACY",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-23",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ 6408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
- Mefl, LLC (Miracle Ear)
- Anoosha Mehmood, MD
- Sarah Melendez, LCSW
- Mayeisi Melgarejo, RBT
- Becki D Melton, MD
- Amos Melvin Jr., BC-HIS
- Memorial Health Systems Inc (AdventHealth Medical Group)
- Memorial Hospital Flagler Inc (Adventhealth Imaging Palm Coast)
- Memorial Hospital Flagler Inc (AdventHealth Palm Coast)
- Memorial Hospital Flagler Inc (Adventhealth Palm Coast)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.