Melissa Hernandez Pellegrini

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4984 Issued in LA

Practice address

198 Highway 21
Madisonville, LA 70447-9674

Phone

(985) 845-2992

Fax

(985) 845-2994

NPI assigned

Aug 24, 2006

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013024249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 HIGHWAY 21",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479674",
            "telephone_number": "985-845-2992",
            "fax_number": "985-845-2994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 HIGHWAY 21",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479674",
            "telephone_number": "985-845-2992",
            "fax_number": "985-845-2994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRINI",
        "first_name": "MELISSA",
        "middle_name": "HERNANDEZ",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varun Kumar Pala, M.D
• Jessica Parker, LOTR
• Francoise Parr, L.P.C
• Catherine Jeanette Pechon, M.D.
• Miriam B Pecot
• Anri Jenil Pfister, FNP-C
• Emily Ponzo, MS, CCC-SLP
• Precision Imaging, LLC
• Primetime Chronic Care Management, LLC
• Brittany Adel Borne Priola, MSN, FNP-C

• General Practice Dentistry in Madisonville, LA
• Providers in Madisonville, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.