Michelle Melendez, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95001283 Issued in CA

Practice address

17000 Elizabeth Lake Rd
Lake Hughes, CA 93532-1228

Phone

(661) 724-1768

NPI assigned

Mar 13, 2023

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1013618461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "LAKE HUGHES",
            "state": "CA",
            "postal_code": "935320455",
            "telephone_number": "661-724-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 ELIZABETH LAKE RD",
            "city": "LAKE HUGHES",
            "state": "CA",
            "postal_code": "935321228",
            "telephone_number": "661-724-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "MICHELLE",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95001283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Hughes Recovery Estates, Inc.
• Lake Hughes Recovery Inc.
• LH Blue Sky Inc
• Cynthia Lopez, LICENSE PHLEBOTOMIST
• Alexander Megarit, MSW
• Ana Valenzuela Moennich
• Avedis Oksazian
• Samantha M Parker
• Heather Michelle Parnell, RADT-I
• Peaceful Hills Inc

• Pediatric Nurse Practitioner in Lake Hughes, CA
• Providers in Lake Hughes, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.