Active NPI
Mel Lleras, REV., C.HT.
- Religious Nonmedical Practitioner
- Minneapolis, MN
National Provider Identifier
1407383573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Religious Nonmedical Practitioner
- Practice address
- 1406 W Lake St Ste a
Minneapolis, MN 55408-3598 - Phone
- (612) 430-9385
- NPI assigned
- May 19, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Religious Nonmedical Practitioner | 374K00000X | AZ | Primary |
Addresses
Primary practice location
1406 W Lake St Ste a
Minneapolis, MN 55408-3598
Mailing address
1406 W Lake St Ste a
Minneapolis, MN 55408-3598
Phone (612) 430-9385
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": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1407383573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1406 W LAKE ST STE A",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554083598",
"telephone_number": "612-430-9385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 W LAKE ST STE A",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554083598",
"telephone_number": "612-430-9385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLERAS",
"first_name": "MEL",
"credential": "REV., C.HT.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.