Melinda Konrath, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

28140334A Issued in IN

Practice address

244 S Olive St
Suite E
South Bend, IN 46619-2100

Phone

(574) 282-3230

Fax

(574) 282-3240

NPI assigned

Oct 15, 2007

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1083802193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 S OLIVE ST",
            "address_2": "SUITE E",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192100",
            "telephone_number": "574-282-3230",
            "fax_number": "574-282-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 S OLIVE ST",
            "address_2": "SUITE E",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466192100",
            "telephone_number": "574-282-3230",
            "fax_number": "574-282-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONRATH",
        "first_name": "MELINDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "IN",
            "license": "28140334A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Lynn Koehler, MSW
• Justin Jacob Koenig, DO
• Ashley S Kolbe, MSW
• Jackie F Kolstad-Blanchaed, MA
• Kristen Konecny
• Abigail Marie Korb, PA-C
• Jane Korson, MSW, LSW
• Kimberly J Koscher, BS
• Matthew Francis Koscielski, M.D.
• Douglas John Kosek, D.D.S.

• Administrator Registered Nurse in South Bend, IN
• Providers in South Bend, IN by specialty
• Administrator Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.