Melodee Joy Smith, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

12-058 Issued in NV

Practice address

5740 Sarah Rd
Fallon, NV 89406-2363

Phone

(262) 951-0131

Fax

(262) 951-0131

NPI assigned

Feb 14, 2018

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

Other names 1

• Melodee Jacobson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1356841548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 SARAH RD",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062363",
            "telephone_number": "262-951-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 SARAH RD",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062363",
            "telephone_number": "262-951-0131",
            "fax_number": "262-951-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MELODEE",
        "middle_name": "JOY",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "12-058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODEE",
            "last_name": "JACOBSON",
            "credential": "MS OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Silver State Geriatrics LLC
• James P Smerdon, D.M.D.
• April Smith
• Jonathan Tyler Smith, MD
• Lindsay Nichole Smith
• Mikayla L Smith
• Rachel Smith
• Savannah Smith
• Solomon'S Porch
• Jamie T Sotka, RN

• Occupational Therapist in Fallon, NV
• Providers in Fallon, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.