Active NPI
Melannie Ulloa
- Specialist
- North Syracuse, NY
National Provider Identifier
1356937437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 102 Baum Ave
North Syracuse, NY 13212-2320 - Phone
- (631) 339-5518
- NPI assigned
- Dec 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
102 Baum Ave
North Syracuse, NY 13212-2320
Mailing address
102 Baum Ave
North Syracuse, NY 13212-2320
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF84563B | Other | NY | EMPIRE PLAN |
| 14030010500 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Mulloa@oswego.edu |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607904000000",
"number": "1356937437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 BAUM AVE",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132122320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 BAUM AVE",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132122320",
"telephone_number": "631-339-5518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULLOA",
"first_name": "MELANNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-14",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PLAN",
"identifier": "DF84563B",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14030010500",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Mulloa@oswego.edu",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "102 Baum Ave",
"city": "North Syracuse",
"state": "NY",
"country_code": "US",
"postal_code": "132122320",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Syracuse, NY
- Total Chiropractic of North Syracuse PLLC
- Amy Sue Trivison, LPN LICENSE # 275747
- Brian R Tromblee
- Mary Catherine Trusilo, M.D.
- Cari Lynn Tudman, M.S.T.
- Untangled, Mental Health Counseling & Creative Arts Therapy, PLLC
- Sara Urciuoli, LMHC
- Toni Lynne Vadala, LCSW, LMSW
- Carrie Marie Vincent, PHYSICAL THERAPIST
- Gayle Lynn Vinette, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.