Active NPI
Melody Jane Drake, MD
- Family Medicine Physician
- Terre Haute, IN
National Provider Identifier
1386635944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01032773
- Practice address
- 1513 N 6TH 1/2 St
Terre Haute, IN 47807-1039 - Phone
- (812) 238-7631
- NPI assigned
- Nov 2, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01032773 | IN | Primary |
Addresses
Primary practice location
1513 N 6TH 1/2 St
Terre Haute, IN 47807-1039
Mailing address
PO Box 2505
Indianapolis, IN 46206-2505
Phone (812) 238-7783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00102267 | Other | IN | RR MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01032773 | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1386635944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2505",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462062505",
"telephone_number": "812-238-7783",
"fax_number": "812-238-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 N 6TH 1/2 ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478071039",
"telephone_number": "812-238-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAKE",
"first_name": "MELODY",
"middle_name": "JANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-02",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01032773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00102267",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.