Active NPI
Melody Burgess, LMT
- Specialist
- Ocoee, FL
National Provider Identifier
1245542950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 42382
- Practice address
- 284 Moore Road
Ocoee, FL 34761 - Phone
- (407) 877-7117
- Fax
- (407) 877-9981
- NPI assigned
- Jul 10, 2010
- Last updated
- Jul 10, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA 42382 | FL | Primary |
Addresses
Primary practice location
284 Moore Road
Ocoee, FL 34761
Mailing address
13905 W. Colonial Drive
#195
Winter Garden, FL 34787
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 42382 | FL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Truhealth LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278720000000",
"number": "1245542950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13905 W. COLONIAL DRIVE",
"address_2": "#195",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "34787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 MOORE ROAD",
"city": "OCOEE",
"state": "FL",
"postal_code": "34761",
"telephone_number": "407-877-7117",
"fax_number": "407-877-9981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "MELODY",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-10",
"last_updated": "2010-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA 42382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.