Melika Duerson

Primary specialty

DriverTaxonomy code 172A00000X

License

2400-80-3406 Issued in IN

Practice address

629 Radburn Dr
Indianapolis, IN 46214-2644

Phone

(317) 954-7409

Fax

(317) 978-6729

NPI assigned

Oct 11, 2022

Last updated

Oct 11, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1356066336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 RADBURN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142644",
            "telephone_number": "317-954-7409",
            "fax_number": "317-978-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 RADBURN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142644",
            "telephone_number": "317-954-7409",
            "fax_number": "317-978-6729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUERSON",
        "first_name": "MELIKA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IN",
            "license": "2400-80-3406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RIDES4UTRANSPORTATION@YAHOO.COM",
            "affiliation": "N",
            "endpointDescription": "MEDICAL TRANSPORTATION",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "DRIVER",
            "address_1": "629 Radburn Dr",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462142644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebecca Nicole Dudley, DO
• Timothy William Dudley, D.D.S.
• Marc E. Duerden, MD
• Jessica Tennille Duerksen, CPNP
• Rachel Duerksen
• Taneisha Duerson, CMA(AAMA)
• Tony D Duerson
• Bryce Evan Duffett
• Kimberly Ann Duffey, PHD
• Angela Marie Duffy, RPH

• Driver in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Driver in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.