Active NPI
Denise Judith Melucci, RN
- Registered Nurse
- Pawtucket, RI
National Provider Identifier
1205941671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN24803
- Practice address
- 105 Bacon St
Pawtucket, RI 02860-5542 - Phone
- (401) 722-3560
- Fax
- (401) 722-3593
- NPI assigned
- Aug 19, 2006
- Last updated
- May 25, 2016
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN24803 | RI | Primary |
Addresses
Primary practice location
105 Bacon St
Pawtucket, RI 02860-5542
Mailing address
101-105 Bacon St
Pawtucket, RI 02860-5542
Phone (401) 722-3560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DM04811 | Medicaid | RI |
Other names 1
- Denise Judith Sanchez
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN24803 | RI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Healthcare Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pawtucket, RI
- NPI 1821078932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464134400000",
"number": "1205941671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101-105 BACON ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605542",
"telephone_number": "401-722-3560",
"fax_number": "401-722-3593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BACON ST",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028605542",
"telephone_number": "401-722-3560",
"fax_number": "401-722-3593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELUCCI",
"first_name": "DENISE",
"middle_name": "JUDITH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2016-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "RI",
"license": "RN24803",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DM04811",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "SANCHEZ",
"middle_name": "JUDITH",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.