Active NPI
Melissa Sedillo, RN
- Registered Nurse
- Albuquerque, NM
National Provider Identifier
1225748304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R60124
- Practice address
- 7007 Jefferson St NE Ste C
Albuquerque, NM 87109-4450 - Phone
- (505) 340-0406
- NPI assigned
- Nov 30, 2022
- 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 | R60124 | NM | Primary |
Addresses
Primary practice location
7007 Jefferson St NE Ste C
Albuquerque, NM 87109-4450
Mailing address
7007 Jefferson St NE Ste C
Albuquerque, NM 87109-4450
Phone (505) 340-0406
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 |
|---|---|---|---|
| R60124 | NM | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortega Wellness | Current | Accepting new patients |
Locations
7007 Jefferson St NE
Ste C
Albuquerque, NM 87109
Phone (505) 340-0406
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Albuquerque, NM
- NPI 1013464379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669766400000",
"number": "1225748304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7007 JEFFERSON ST NE STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094450",
"telephone_number": "505-340-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7007 JEFFERSON ST NE STE C",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094450",
"telephone_number": "505-340-0406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDILLO",
"first_name": "MELISSA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "R60124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.