Melane Ninonuevo

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG07190093 Issued in CT

Practice address

400 Capital Blvd
Rocky Hill, CT 06067-3576

Phone

(860) 221-0255

NPI assigned

Aug 21, 2019

Last updated

Aug 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CT

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mninonuevo20280@direct.ynhh.org

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.

• Northeast Medical Group, Inc.

  • Internal Medicine Physician
  • Bridgeport, CT
  • NPI 1043278351
  Medicare reassignment NPD
• Northeast Medical Group, Inc

  dba Cardiac Specialists

  • Cardiovascular Disease Physician
  • Fairfield, CT
  • NPI 1366745267
  NPD

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1417504846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAPITAL BLVD",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAPITAL BLVD",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673576",
            "telephone_number": "860-221-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINONUEVO",
        "first_name": "MELANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "AG07190093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Vision CT
• Newington Dental Care, PLLC
• Huong T Nguyen, POST- MSN, APRN
• Niaz Ahmed, DDS, LLC (River Park Dental)
• Nicole Castiglioni LLC
• Shannon Andrea Noble, LMT
• Shelly Anne Nolan, M.S., L.P.C
• Northland Hearing Centers, Inc. (Hear Again Center)
• Nancy Marie Nurge, NP
• Dominique Evelyn O'Day, BCBA

• Gerontology Nurse Practitioner in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Gerontology Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.