Active NPI
Melissa Carol Pietraszak
- Critical Care Medicine Clinical Nurse Specialist
- Hammond, IN
National Provider Identifier
1275974131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine Clinical Nurse Specialist
- License
- 71004407A
- Practice address
- 5454 Hohman Ave
Hammond, IN 46320-1931 - Phone
- (219) 932-2300
- NPI assigned
- Jul 8, 2013
- 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 |
|---|---|---|---|---|
| Critical Care Medicine Clinical Nurse Specialist | 364SC0200X | 71004407A | IN | Primary |
Addresses
Primary practice location
5454 Hohman Ave
Hammond, IN 46320-1931
Mailing address
5454 Hohman Ave
Hammond, IN 46320-1931
Phone (219) 932-2300
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 |
|---|---|---|---|
| 71004407A | IN | MD | Critical Care Medicine Clinical Nurse Specialist |
Interoperability endpoints
- mpietraszak62303@ssdirect.comhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382313600000",
"number": "1275974131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 HOHMAN AVE",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463201931",
"telephone_number": "219-932-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 HOHMAN AVE",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463201931",
"telephone_number": "219-932-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIETRASZAK",
"first_name": "MELISSA",
"middle_name": "CAROL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-08",
"last_updated": "2013-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "364SC0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Critical Care Medicine",
"state": "IN",
"license": "71004407A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hammond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.