Melissa A Dichristofaro, RN

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

143153-30 Issued in WI

Practice address

4800 S 10TH St
Milwaukee, WI 53221-2412

Phone

(414) 744-5370

NPI assigned

Mar 24, 2022

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1154071256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S 10TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212412",
            "telephone_number": "414-744-5370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S 10TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212412",
            "telephone_number": "414-744-5370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICHRISTOFARO",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "143153-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali A Diba, M.D.
• Anna Kristine Dibbs
• Pamela Helen Dibella, MS-CCC, SLP
• Danielle Dicentio
• Nicholas Dante Dichristofano, MD
• Shannon Olivia Dicken, PHARMD
• Robert A Dickens, MD
• Shauntun Dickerson
• Anne Dickinson, OTR/L
• Alexis C Dickmann, PA-C

• Addiction (Substance Use Disorder) Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.