Active NPI
Melissa D Meredith, CNM
- Advanced Practice Midwife
- Newark, DE
National Provider Identifier
1427090745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- LK0000136
- Practice address
- 4745 Ogletown Stanton Rd Ste 106
Newark, DE 19713-1339 - Phone
- (302) 454-9800
- Fax
- (302) 454-6446
- NPI assigned
- Jun 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | LK0000136 | DE | Primary |
| Advanced Practice Midwife | 367A00000X | AC000100 | MD |
Addresses
Primary practice location
4745 Ogletown Stanton Rd Ste 106
Newark, DE 19713-1339
Mailing address
801 Middleford Rd
Seaford, DE 19973-3636
Phone (302) 629-6611
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427090745 | Medicaid | DE | |
| LT35 / 606879-02 | Other | MD | BC / BS OF MD |
| S186 / 0072 | Other | MD | BLUECHOICE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melissa.meredith.p1@direct.lifelinemedicalassoc.nextgenshare.com |
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LK0000136 | DE | MD | Advanced Practice Midwife |
| AC000100 | MD | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women First, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Newark, DE
- NPI 1558692939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1427090745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MIDDLEFORD RD",
"city": "SEAFORD",
"state": "DE",
"postal_code": "199733636",
"telephone_number": "302-629-6611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4745 OGLETOWN STANTON RD STE 106",
"city": "NEWARK",
"state": "DE",
"postal_code": "197131339",
"telephone_number": "302-454-9800",
"fax_number": "302-454-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEREDITH",
"first_name": "MELISSA",
"middle_name": "D",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "DE",
"license": "LK0000136",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MD",
"license": "AC000100",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427090745",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC / BS OF MD",
"identifier": "LT35 / 606879-02",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHOICE",
"identifier": "S186 / 0072",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melissa.meredith.p1@direct.lifelinemedicalassoc.nextgenshare.com",
"affiliation": "N",
"address_1": "4745 Ogletown Stanton Rd Ste 106",
"city": "Newark",
"state": "DE",
"country_code": "US",
"postal_code": "197131339",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.