Individual provider Active NPI

Melissa Foggo

  • Behavior Technician
  • Longmont, CO
National Provider Identifier
1184468514
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
1823 Sunset PL Ste C
Longmont, CO 80501-6544
Phone
(720) 449-6676
NPI assigned
Jun 20, 2024
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

1823 Sunset PL Ste C
Longmont, CO 80501-6544

Mailing address

17491 W 16TH Ave Apt 207
Golden, CO 80401-2554

Other practice location 1

73 Main St Unit 2
Rollinsville, CO 80474-5064
Phone (951) 236-1689

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

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1184468514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17491 W 16TH AVE APT 207",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 SUNSET PL STE C",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016544",
            "telephone_number": "720-449-6676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 Main St Unit 2",
            "address_purpose": "LOCATION",
            "city": "Rollinsville",
            "state": "CO",
            "postal_code": "804745064",
            "country_code": "US",
            "telephone_number": "951-236-1689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGGO",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.