Melissa Maria Doukas, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

24 Pheasant Run Dr
Gales Ferry, CT 06335-2018

Phone

(860) 373-3096

NPI assigned

Apr 22, 2024

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2024.

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1346095320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PHEASANT RUN DR",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063352018",
            "telephone_number": "860-373-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PHEASANT RUN DR",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063352018",
            "telephone_number": "860-373-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUKAS",
        "first_name": "MELISSA",
        "middle_name": "MARIA",
        "credential": "NBC-HWC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Gales Ferry, CT
• Health & Wellness Coach in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.