Melissa Koehler

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209.011071 Issued in IL

Practice address

572 Lincoln Ave
Suite #3
Winnetka, IL 60093-2308

Phone

(847) 501-4040

NPI assigned

Dec 31, 2013

Last updated

Dec 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Melissa Solomon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: msolomon120237@direct.luriechildrens.org
• Direct secure messaging: msolomon420953@direct.myadvocateaurora.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ann & Robert H. Lurie Children's Hospital of Chicago

  • Children's Hospital
  • Chicago, IL
  • NPI 1235234535
  NPD

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1033530548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 CENTRAL ST",
            "address_2": "APT 3W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015736",
            "telephone_number": "847-826-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "572 LINCOLN AVE",
            "address_2": "SUITE #3",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932308",
            "telephone_number": "847-501-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209.011071",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.415962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "209.011071",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "041.415962",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SOLOMON",
            "credential": "APN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela Joann Keys, LCSW
• Marie Eve S Kielson, MA LMFT LCPC
• Nelson Kim, PT, DPT
• Yoon Tae Kim, M.D.
• Katelyn G Kluckman, MS, CF-SLP
• Lance William Kruse, DDS
• Edy Kupietzky, MSW, PHD, MPH
• Thanh Thien Ha Lan, M.D.
• Susan S. Langan
• Margaret Buckner Lawson, D.P.M.

• Pediatric Nurse Practitioner in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.