Individual provider Active NPI

Melinda A. Lando, CPNP

  • Pediatric Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1013098425
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
F380595-1 Issued in NY
Practice address
1425 Walton Ave
P.S. 64 School Based Clinicbronxlebanon Hospital
Bronx, NY 10452-6901
Phone
(718) 293-0151
Fax
(718) 588-8743
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F380595-1 NY Primary

Addresses

Primary practice location

1425 Walton Ave
P.S. 64 School Based Clinicbronxlebanon Hospital
Bronx, NY 10452-6901

Mailing address

1425 Walton Ave
P.S. 64 School Based Clinic Bronx Lebanon Hospital
Bronx, NY 10452-6901
Phone (718) 293-0151

Other identifiers 1

IdentifierTypeStateIssuer
02349508MedicaidNY

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)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F380595-1NYMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013098425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 WALTON AVE",
            "address_2": "P.S. 64 SCHOOL BASED CLINIC BRONX LEBANON HOSPITAL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104526901",
            "telephone_number": "718-293-0151",
            "fax_number": "718-588-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 WALTON AVE",
            "address_2": "P.S. 64 SCHOOL BASED CLINICBRONXLEBANON HOSPITAL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104526901",
            "telephone_number": "718-293-0151",
            "fax_number": "718-588-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDO",
        "first_name": "MELINDA",
        "middle_name": "A.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380595-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02349508",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.