Active NPI
Lauretta Kaylor-Melaney, PMD
- Paramedic
- Jacksonville, FL
National Provider Identifier
1124871124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- PMD535758
- Practice address
- 740 Greeland Ave
Jacksonville, FL 32221-4404 - Phone
- (407) 663-7729
- NPI assigned
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | EMT556102 | FL | |
| Paramedic | 146L00000X | PMD535758 | FL | Primary |
Addresses
Primary practice location
740 Greeland Ave
Jacksonville, FL 32221-4404
Mailing address
156 Bird of Paradise Dr
Palm Coast, FL 32137-9312
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 |
|---|---|---|---|
| PMD535758 | FL | MD | Paramedic |
| EMT556102 | FL | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1124871124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 BIRD OF PARADISE DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321379312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 GREELAND AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322214404",
"telephone_number": "407-663-7729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYLOR-MELANEY",
"first_name": "LAURETTA",
"name_prefix": "Mrs.",
"credential": "PMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "FL",
"license": "EMT556102",
"primary": false
},
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "FL",
"license": "PMD535758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.