Active NPI
Melissa Arlane Landreth, RNC, IBCLC
- Lactation Consultant (Registered Nurse)
- Cape Girardeau, MO
National Provider Identifier
1053659581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- 116460
- Practice address
- 211 Saint Francis Dr
Cape Girardeau, MO 63703-5049 - Phone
- (573) 331-5565
- NPI assigned
- Jan 17, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 116460 | MO | Primary |
Addresses
Primary practice location
211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Mailing address
4916 Pinedale
Jackson, MO 63755-2521
Phone (573) 339-7111
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116460 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1053659581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4916 PINEDALE",
"city": "JACKSON",
"state": "MO",
"postal_code": "637552521",
"telephone_number": "573-339-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 SAINT FRANCIS DR",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637035049",
"telephone_number": "573-331-5565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRETH",
"first_name": "MELISSA",
"middle_name": "ARLANE",
"credential": "RNC, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-17",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "MO",
"license": "116460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
- Gina L Landewe, OTR-L, CHT
- Courtney Landgraf, APRN
- Landmark Hospital of Cape Girardeau Transitional Care Center, LLC
- Landmark Hospital of Cape Girardeau, LLC
- Landmark Rehabilitation Hospital of Cape Girardeau, LLC
- Miranda Landreth, LPN
- Joshua Craig Lane, LMSW
- Kerri Michelle Lane, RN, BSN, FNP-C
- Marshell Lane, NURSE
- Aaron Lang, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.