Melissa Le Nicol

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

5215 N Ravenswood Ave Ste 105
Chicago, IL 60640-1670

Phone

(773) 878-7330

NPI assigned

Jun 25, 2020

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

Other names 1

• Melissa Lee Grein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Dr Todd C Renn, P.C.

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  • Chicago, IL
  • NPI 1467506675
  NPD
• Essential Health Solutions Inc

  • Nutrition Education Nutritionist
  • Chicago, IL
  • NPI 1497872345
  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1114543147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N RAVENSWOOD AVE STE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401670",
            "telephone_number": "773-878-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6350 N Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606463728",
            "country_code": "US",
            "telephone_number": "773-480-8920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE NICOL",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "GREIN",
            "middle_name": "LEE",
            "credential": "L.AC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lde Concierge Solutions LLC
• Nastane Le Bec, MD
• P. Daniel Le Grange, PHD
• Kevin Le Mentec
• Amy Le Nguyen, PHARMD, RPH
• Le Penseur Youth & Family Services, Inc
• Le Penseur Youth & Family Services, Inc
• Le Petite Foxes PLLC
• Amy Tu Trinh Huynh Le, MD
• Anh Duc Le, DMD

• Acupuncturist in Chicago, IL
• Providers in Chicago, IL by specialty
• Acupuncturist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.