Individual provider Active NPI

Melanie L Sciarra, NP

  • Family Nurse Practitioner
  • Dover, DE
National Provider Identifier
1295362333
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0001405 Issued in DE
Practice address
125 Greentree Dr Ste 1
Dover, DE 19904-7656
Phone
(571) 278-5693
Fax
(571) 278-5693
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0001405 DE Primary

Addresses

Primary practice location

125 Greentree Dr Ste 1
Dover, DE 19904-7656

Mailing address

125 Greentree Dr Ste 1
Dover, DE 19904-7656
Phone (571) 278-5693

Other identifiers 1

IdentifierTypeStateIssuer
LG-0001405MedicaidDE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address afouad@ktpdover.com Direct

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0001405DEMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1295362333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 GREENTREE DR STE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047656",
            "telephone_number": "571-278-5693",
            "fax_number": "571-278-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 GREENTREE DR STE 1",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047656",
            "telephone_number": "571-278-5693",
            "fax_number": "571-278-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIARRA",
        "first_name": "MELANIE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LG-0001405",
            "state": "DE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "afouad@ktpdover.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "125 Greentree Dr Ste 1",
            "city": "Dover",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199047656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.