Sandra Marie Mellor, DNP, APPN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

88750 Issued in OK

Practice address

8316 E 61St St Ste 101a
Tulsa, OK 74133-1908

Phone

(918) 893-3535

Fax

(918) 893-3570

NPI assigned

Jun 4, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Rodi LLC

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1467817940
  NPD Authorized official
• Rodi LLC

  • Clinic/Center
  • Tulsa, OK
  • NPI 1063990398
  NPD

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1396783908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 E 61ST ST STE 101A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331908",
            "telephone_number": "918-893-3535",
            "fax_number": "918-893-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 E 61ST ST STE 101A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331908",
            "telephone_number": "918-893-3535",
            "fax_number": "918-893-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLOR",
        "first_name": "SANDRA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DNP, APPN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "88750",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "653337",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "88750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200623310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Melchior, LMFT CANDIDATE
• Ronda Melchiorre, LPC CANDIDATE
• Amaya Melendez
• Joana Melendez
• Melissa a Dietz, MD, LLC
• Sarah Melone
• Autumn Kara Meloy, RN
• Adrian Jade Melton-Williams
• Debby Ann Melton, MSW
• Edward Gerard Melton, M.D.

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.