Individual provider Active NPI

Melana Lynn Tardiff, RN-BSN

  • Registered Nurse
  • Madawaska, ME
National Provider Identifier
1356969240
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN74580 Issued in ME
Practice address
309 Saint Thomas St Ste 213
Madawaska, ME 04756-1278
Phone
(207) 728-3971
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

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

LicenseStateTypeSpecialty
RN74580MEMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN74580 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

309 Saint Thomas St Ste 213
Madawaska, ME 04756-1278

Mailing address

309 Saint Thomas St Ste 213
Madawaska, ME 04756-1278
Phone (207) 728-3971

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 20, 2021.

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1356969240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SAINT THOMAS ST STE 213",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561278",
            "telephone_number": "207-728-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SAINT THOMAS ST STE 213",
            "city": "MADAWASKA",
            "state": "ME",
            "postal_code": "047561278",
            "telephone_number": "207-728-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDIFF",
        "first_name": "MELANA",
        "middle_name": "LYNN",
        "credential": "RN-BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ME",
            "license": "RN74580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madawaska, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.