Jody Mello, TM
Individual provider Active NPI Lay Midwife · Killingly, CT
NPI 1265053193 · NPPES record last updated May 1, 2020
Key facts
- NPI
- 1265053193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lay Midwife 175M00000X
- Practice address
- 796 Providence Pike
Killingly, CT 06239-3925 - Phone
- (401) 497-2290
- NPI assigned
- May 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | Yes |
Addresses
Primary practice location
796 Providence Pike
Killingly, CT 06239-3925
Mailing address
796 Providence Pike
Killingly, CT 06239-3925
Phone (401) 497-2290
Other providers in Killingly, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.