Melissa Wanink

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

4040 Beacon St
Kingsley, MI 49649-9548

Phone

(231) 263-1350

NPI assigned

Jan 11, 2023

Last updated

Jan 11, 2023By the provider in NPPES

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

Practice roles

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

• Lighthouse, Inc.

  • Rehabilitation Clinic/Center
  • Caro, MI
  • NPI 1770661092
  NPD (past)

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1164136461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WANINK RD",
            "city": "WAKEFIELD",
            "state": "MI",
            "postal_code": "499681717",
            "telephone_number": "906-364-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BEACON ST",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496499548",
            "telephone_number": "231-263-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANINK",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Lighthouse - Traverse City, LLC
• Amy Elizabeth Thomas, MSW.LMSW
• Crystal M Thomas, LMSW
• Township of Paradise
• Alyssa Treacy
• Lindsey Renee Weber, CRNA
• Joann Marie Wegrzyn, M.A., CCC-SLP
• Matthew P White, LMFT, MDIV
• David Gene Wright, D.O.
• Michael Zaleski, R.PH.

• Student in an Organized Health Care Education/Training Program in Kingsley, MI
• Providers in Kingsley, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.