Susana Dorian Bennett-Melendez

Primary specialty

CounselorTaxonomy code 101Y00000X

License

19-161-BHA1 Issued in AK

Practice address

3449 E Rezanof Dr
Kodiak, AK 99615-6952

Phone

(907) 486-9800

NPI assigned

Oct 16, 2019

Last updated

Oct 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1326680760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 149",
            "city": "OUZINKIE",
            "state": "AK",
            "postal_code": "996440149",
            "telephone_number": "907-486-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3449 E REZANOF DR",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996156952",
            "telephone_number": "907-486-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT-MELENDEZ",
        "first_name": "SUSANA",
        "middle_name": "DORIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AK",
            "license": "19-161-BHA1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dorian.bennett-melendez@kodiakhealthcare.org",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3449 E Rezanof Dr",
            "city": "Kodiak",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996156952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert H Banks, D.C.
• Heidi M Barrett-McNerney, LCSW, CDCS, MAC
• Diana Bash, RN
• Brett Alan Bass, DDS, PC
• Jordan Beard
• Jenna Beth Black, M.S., CCC-SLP
• Georgia J Blain
• Rae Jean Blaschka, NP
• Esther Abigail Bold, MA, LPC, LADC
• Tara E Bonardi

• Counselor in Kodiak, AK
• Providers in Kodiak, AK by specialty
• Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.