Organization Active NPI

Meliora Direct Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Parker, CO
National Provider Identifier
1427677194
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MELIORA DIRECT HEALTH LLC
Practice address
10290 S Progress Way Ste 208
Parker, CO 80134-9056
Phone
(303) 317-3088
Fax
(877) 268-5001
NPI assigned
Apr 13, 2020
Last updated
Sep 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mary S Riccelli, NPNPI 1407871643
Title
Owner/Nurse Practitioner
Phone
(720) 317-9460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

10290 S Progress Way Ste 208
Parker, CO 80134-9056

Mailing address

488 Pawling Ave
Troy, NY 12180-5832
Phone (720) 317-9460

Other identifiers 1

IdentifierTypeStateIssuer
573324MedicaidCO

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL MelioraDirectHealth@direct.practicefusion.com Health Information Exchange (HIE)
Direct Messaging Address MelioraDirectHealth@direct.practicefusion.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

10290 S Progress Way
Ste 208
Parker, CO 80134
Phone (303) 317-3088

18801 E Mainstreet
Ste 180
Parker, CO 80134
Phone (720) 727-1738

Interoperability endpoints

  • Direct secure messaging: melioradirecthealth@direct.practicefusion.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1427677194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 PAWLING AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121805832",
            "telephone_number": "720-317-9460",
            "fax_number": "877-268-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 S PROGRESS WAY STE 208",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349056",
            "telephone_number": "303-317-3088",
            "fax_number": "877-268-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELIORA DIRECT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-09-06",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "RICCELLI",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "720-317-9460",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "573324",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "MelioraDirectHealth@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "EMR URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10290 S Progress Way Ste 208",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801349056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MelioraDirectHealth@direct.practicefusion.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10290 S Progress Way Ste 208",
            "city": "Parker",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801349056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.