Active NPI
Sesthers Laverne Melendez, PA-C
- Physician Assistant
- Ft. Bragg, NC
National Provider Identifier
1457448003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 3443
- Practice address
- BLDG 5-4257 Reilly Rd
Ft. Bragg, NC 28310 - Phone
- (910) 907-2575
- NPI assigned
- Oct 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA 3443 | FL | Primary |
Addresses
Primary practice location
BLDG 5-4257 Reilly Rd
Ft. Bragg, NC 28310
Mailing address
1134 Hayes Rd
Four Oaks, NC 27524
Phone (919) 898-5424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 3443 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457448003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 HAYES RD",
"city": "FOUR OAKS",
"state": "NC",
"postal_code": "27524",
"telephone_number": "919-898-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 5-4257 REILLY RD",
"city": "FT. BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "SESTHERS",
"middle_name": "LAVERNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA 3443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft. Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.