Active NPI
Melissa Dawn Martin, RCP
- Certified Respiratory Therapist
- De Soto, MO
National Provider Identifier
1346526688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 2010024477
- Practice address
- 13735 Willow Wind Dr
De Soto, MO 63020-4383 - Phone
- (636) 524-9264
- NPI assigned
- Nov 1, 2011
- Last updated
- Nov 1, 2011
- 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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 2010024477 | MO | Primary |
Addresses
Primary practice location
13735 Willow Wind Dr
De Soto, MO 63020-4383
Mailing address
13735 Willow Wind Dr
De Soto, MO 63020-4383
Phone (636) 524-9264
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 |
|---|---|---|---|
| 2010024477 | MO | MD | Certified Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1346526688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13735 WILLOW WIND DR",
"city": "DE SOTO",
"state": "MO",
"postal_code": "630204383",
"telephone_number": "636-524-9264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13735 WILLOW WIND DR",
"city": "DE SOTO",
"state": "MO",
"postal_code": "630204383",
"telephone_number": "636-524-9264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MELISSA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "RCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "MO",
"license": "2010024477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in De Soto, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.