Individual provider Active NPI

Melinda Spofford, LPN

  • Licensed Practical Nurse
  • Middletown, OH
National Provider Identifier
1144611062
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN083595 MEDS Issued in OH
Practice address
1055 Summitt Dr
Middletown, OH 45042-3464
Phone
(513) 432-6589
Fax
(513) 423-3366
NPI assigned
Feb 13, 2015
Last updated
Feb 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN083595 MEDS OH Primary

Addresses

Primary practice location

1055 Summitt Dr
Middletown, OH 45042-3464

Mailing address

1055 Summitt Dr
Middletown, OH 45042-3464
Phone (513) 432-6589

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

LicenseStateTypeSpecialty
PN083595 MEDSOHMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1144611062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 SUMMITT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-432-6589",
            "fax_number": "513-423-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SUMMITT DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-432-6589",
            "fax_number": "513-423-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOFFORD",
        "first_name": "MELINDA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-13",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN083595 MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.