Individual provider Active NPI

Meloine Bessette, ADMINISTRATOR

  • Licensed Practical Nurse
  • Brandon, FL
National Provider Identifier
1194140566
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 958091 Issued in FL
Practice address
619 Princeton St
Brandon, FL 33511-7129
Phone
(813) 655-0822
Fax
(813) 681-1482
NPI assigned
Feb 21, 2014
Last updated
Feb 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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 PN 958091 FL Primary

Addresses

Primary practice location

619 Princeton St
Brandon, FL 33511-7129

Mailing address

619 Princeton St
Brandon, FL 33511-7129
Phone (813) 655-0822

Other identifiers 1

IdentifierTypeStateIssuer
16MedicaidFL

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
PN 958091FLMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Live in Inc Current Accepting new patients
Southern Live in Current Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1194140566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 PRINCETON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117129",
            "telephone_number": "813-655-0822",
            "fax_number": "813-681-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 PRINCETON ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117129",
            "telephone_number": "813-655-0822",
            "fax_number": "813-681-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BESSETTE",
        "first_name": "MELOINE",
        "name_prefix": "Ms.",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN 958091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.