Individual provider Active NPI

Melissa Decardi Hladek, CRNP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1467770339
Registry record updated Jul 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1016852 Issued in DC
Practice address
1660 Columbia Rd NW
Columbia Road Health Services
Washington, DC 20009-3602
Phone
(202) 328-3717
Fax
(202) 319-6946
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1016852 DC Primary

Addresses

Primary practice location

1660 Columbia Rd NW
Columbia Road Health Services
Washington, DC 20009-3602

Mailing address

1660 Columbia Rd NW
Columbia Road Health Services
Washington, DC 20009-3602
Phone (202) 328-3717

Other identifiers 1

IdentifierTypeStateIssuer
024905300MedicaidDC

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1016852DCMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mhladek806436@direct.hopkinsmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341100800000",
    "number": "1467770339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 COLUMBIA RD NW",
            "address_2": "COLUMBIA ROAD HEALTH SERVICES",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093602",
            "telephone_number": "202-328-3717",
            "fax_number": "202-319-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 COLUMBIA RD NW",
            "address_2": "COLUMBIA ROAD HEALTH SERVICES",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200093602",
            "telephone_number": "202-328-3717",
            "fax_number": "202-319-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLADEK",
        "first_name": "MELISSA",
        "middle_name": "DECARDI",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2012-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1016852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024905300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; 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.