Melody Ann Parker, LICENSED PRACTICE NU

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

256679 Issued in NY

Practice address

1026 Park Avenue
Medina, NY 14103

Phone

(585) 798-0631

NPI assigned

May 18, 2012

Last updated

May 18, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1063772473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 PARK AVENUE",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "14103",
            "telephone_number": "585-798-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 PARK AVENUE",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "14103",
            "telephone_number": "585-798-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MELODY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LICENSED PRACTICE NU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "256679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Frances Pierce, LPN
• Karen Elizabeth Polechetti, CRNA
• Tammy R Pollock, CD (CBI)

• Licensed Practical Nurse in Medina, NY
• Providers in Medina, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.