Melanin Rae

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Legal business name

MELANIN RAE

Practice address

202 Appleton Dr
Goose Creek, SC 29445-7713

Phone

(602) 579-1634

NPI assigned

Jun 22, 2024

Organization subpart

No

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

Authorized official

Name

Shayla RandallNPI 1548004781

Title

Cranial Prosthesis Specialist

Phone

(602) 579-1634

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shayla Renee Randall

  • Prosthetics Case Management
  • Goose Creek, SC
  • NPI 1548004781
  NPD Authorized official

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

{
    "created_epoch": "1719014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719014400000",
    "number": "1184468324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 APPLETON DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457713",
            "telephone_number": "602-579-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 APPLETON DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294457713",
            "telephone_number": "602-579-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIN RAE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-22",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "602-579-1634"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Connor McNamara, P.A.
• Brittany Shanese McNeal, ED.S.
• Diane N. McNeil, APRN
• Richard Austin McPhail, PT, DPT, OCS
• Patricia Ann McQuillan, LPN
• Bernard Alexander Melendez, DDS
• Keeliey Elizabeth Melvin-Zompetti
• Elvira P. Melvin, MAHS
• Mended Therapy Group
• Michael Charles Menninger, RN-BC

• Prosthetics Case Management in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Prosthetics Case Management in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.