Active NPI
Lori Melson, NP
- Women's Health Nurse Practitioner
- Santa Maria, CA
National Provider Identifier
1205852605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 5971
- Practice address
- 220 South Palisade Drive
Suite 203
Santa Maria, CA 93454-8902 - Phone
- (805) 434-5497
- Fax
- (805) 354-7102
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 5971 | CA | Primary |
Addresses
Primary practice location
220 South Palisade Drive
Suite 203
Santa Maria, CA 93454-8902
Mailing address
117 West Bunny Avenue
Santa Maria, CA 93458-2805
Phone (805) 739-3474
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1205852605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 WEST BUNNY AVENUE",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934582805",
"telephone_number": "805-739-3474",
"fax_number": "805-739-3982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 SOUTH PALISADE DRIVE",
"address_2": "SUITE 203",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934548902",
"telephone_number": "805-434-5497",
"fax_number": "805-354-7102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELSON",
"first_name": "LORI",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "5971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.