Active NPI
Dureida Elid Melendez
- Case Manager/Care Coordinator
- Kissimmee, FL
National Provider Identifier
1396210258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3501 W Vine St Ste 278
Kissimmee, FL 34741-4673 - Phone
- (321) 900-5786
- NPI assigned
- Oct 8, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Case Manager/Care Coordinator | 171M00000X | FL | Primary |
Addresses
Primary practice location
3501 W Vine St Ste 278
Kissimmee, FL 34741-4673
Mailing address
5530 Metrowest Blvd Apt 309
Orlando, FL 32811-2443
Phone (939) 277-8207
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TCM Solutions Center LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1396210258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5530 METROWEST BLVD APT 309",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328112443",
"telephone_number": "939-277-8207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 W VINE ST STE 278",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414673",
"telephone_number": "321-900-5786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "DUREIDA",
"middle_name": "ELID",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.