Lisa Melo

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

490106870 Issued in CA

Practice address

5509 Volkerts Rd
Sebastopol, CA 95472-5937

Phone

(707) 328-5832

Fax

(707) 824-4434

NPI assigned

Dec 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1316659006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 VOLKERTS RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954725937",
            "telephone_number": "707-328-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509 VOLKERTS RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954725937",
            "telephone_number": "707-328-5832",
            "fax_number": "707-824-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELO",
        "first_name": "LISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "490106870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan McDaniel, CMT
• Doris McDonnell
• Casandra McGee, MFT, MS
• Todd McKillop
• Anita Catherine McNulty, FNP CNM
• Colette Eve Mercier, LM, LMFT
• Lydia Hasbrouck Mertens, MD
• Steve C Mertens, MD
• Tara Metcalf, LMFT
• Michael T. Bollinger, MD, a Professional Corporation

• Assisted Living Facility in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.

Verify at the official NPI Registry.