Active NPI
Melissa Gosnell
- Occupational Therapist
- Ketchikan, AK
National Provider Identifier
1013180868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1235
- Practice address
- 5708 S Tongass Hwy
Ketchikan, AK 99901-9705 - Phone
- (907) 617-2878
- NPI assigned
- Apr 11, 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1235 | AK | Primary |
Addresses
Primary practice location
5708 S Tongass Hwy
Ketchikan, AK 99901-9705
Mailing address
PO Box 7642
Ketchikan, AK 99901-2642
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1013180868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7642",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999012642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5708 S TONGASS HWY",
"city": "KETCHIKAN",
"state": "AK",
"postal_code": "999019705",
"telephone_number": "907-617-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOSNELL",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "1235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ketchikan, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.