Joleen Melendez Rentfro

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

6945 Old Highway 53
Clearlake, CA 95422-9381

Phone

(707) 995-9523

NPI assigned

May 7, 2021

Last updated

May 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lake County Office of Education

  • Local Education Agency (LEA)
  • Clearlake, CA
  • NPI 1861820979
  NPD (past)

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1407430267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 OLD HIGHWAY 53",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954229381",
            "telephone_number": "707-995-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 OLD HIGHWAY 53",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954229381",
            "telephone_number": "707-995-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTFRO",
        "first_name": "JOLEEN",
        "middle_name": "MELENDEZ",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Clearlake, CA
• Providers in Clearlake, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.