Active NPI
Marisol M Melendez, RDCS, RVT
- Sonography Specialist/Technologist Cardiovascular
- Lehigh Acres, FL
National Provider Identifier
1417462003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- License
- 142552
- Practice address
- 902 Willow Dr
Lehigh Acres, FL 33936-6765 - Phone
- (732) 771-7888
- NPI assigned
- Dec 5, 2017
- 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 |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 246XS1301X | 142552 | NC | Primary |
Addresses
Primary practice location
902 Willow Dr
Lehigh Acres, FL 33936-6765
Mailing address
902 Willow Dr
Lehigh Acres, FL 33936-6765
Phone (732) 771-7888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142552 | Other | NC | ARDMS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142552 | NC | MD | Nuclear Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1417462003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 WILLOW DR",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366765",
"telephone_number": "732-771-7888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 WILLOW DR",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "339366765",
"telephone_number": "732-771-7888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "MARISOL",
"middle_name": "M",
"credential": "RDCS, RVT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "246XS1301X",
"taxonomy_group": "",
"desc": "Specialist/Technologist Cardiovascular, Sonography",
"state": "NC",
"license": "142552",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARDMS",
"identifier": "142552",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.