Melinda Peterson Lada, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200300057 Issued in NC

Practice address

400 Shadowline Dr
Suite 104
Boone, NC 28607-5089

Phone

(828) 268-1187

Fax

(828) 262-9728

NPI assigned

Sep 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cornerstone Medical Center, PA

  • Family Medicine Physician
  • Burlington, NC
  • NPI 1548233182
  NPD
• Appalachian Regional Medical Associates, Inc.

  • Family Medicine Physician
  • Boone, NC
  • NPI 1669533923
  NPD (past)
• Mountain View Medical Center

  • Family Medicine Physician
  • Hays, NC
  • NPI 1225170897
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1437258282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR",
            "address_2": "SUITE 400",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075089",
            "telephone_number": "828-268-1187",
            "fax_number": "828-262-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR",
            "address_2": "SUITE 104",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075089",
            "telephone_number": "828-268-1187",
            "fax_number": "828-262-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADA",
        "first_name": "MELINDA",
        "middle_name": "PETERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200300057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137P4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel P Krontz, MD
• Stephanie Layne Kukich
• Kaitlin Kunik
• Chelsea Erin Kuyath, DMD
• Olivia Elizabeth Kyles
• John Lampkins
• Heather Landis, ANP
• Katie Ruth Langley, PMHNP-BC
• Stephanie C Langston, LP, QS
• Mandy Lynnette Lanier, OD

• Family Medicine Physician in Boone, NC
• Providers in Boone, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; 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.