Active NPI
Melissa R Behnke, CPNP
- Pediatrics Physician
- San Diego, CA
National Provider Identifier
1487916904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 21698
- Practice address
- 3860 Calle Fortunada
200
San Diego, CA 92123-4800 - Phone
- (858) 502-1135
- Fax
- (858) 636-4319
- NPI assigned
- Jun 11, 2012
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 21698 | CA | Primary |
Addresses
Primary practice location
3860 Calle Fortunada
200
San Diego, CA 92123-4800
Mailing address
3860 Calle Fortunada
200
San Diego, CA 92123-4800
Phone (858) 502-1135
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)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21698 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339372800000",
"number": "1487916904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 CALLE FORTUNADA",
"address_2": "200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234800",
"telephone_number": "858-502-1135",
"fax_number": "858-636-4319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 CALLE FORTUNADA",
"address_2": "200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234800",
"telephone_number": "858-502-1135",
"fax_number": "858-636-4319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHNKE",
"first_name": "MELISSA",
"middle_name": "R",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2012-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "21698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.