Active NPI
Melanie Ann Dunham, NP
- Family Nurse Practitioner
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 334442
- Practice address
- 819 S Salina St
Syracuse, NY 13202-3527 - Phone
- (315) 476-7921
- NPI assigned
- Feb 15, 2007
- Last updated
- Mar 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 334442 | NY | Primary |
Addresses
Primary practice location
819 S Salina St
Syracuse, NY 13202-3527
Mailing address
819 S Salina St
Syracuse, NY 13202-3527
Phone (315) 476-7921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02864464 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suny Health Science Center at Syracuse | Family | Current | Accepting new patients |
| Suny Health Science Center at Syracuse | Current | Accepting new patients | |
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Suny Health Science Center at Syracuse | Past | Accepting new patients | |
| Winslow Indian Health Care Center, Inc | Past | Accepting new patients |
Locations
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
90 Presidential Plz
Syracuse, NY 13202
Phone (315) 464-3836
Interoperability endpoints
- mdunham50017@direct.upstate.edu
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Upstate University Hospital
- General Acute Care Hospital
- Syracuse, NY
- NPI 1184974529
Family
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
-
dba Upstate Outpatient Pharmacy at Nappi
- Pharmacy
- Syracuse, NY
- NPI 1306567474
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
-
dba Leupp Health Station
- Federal Public Health Clinic/Center
- Leupp, AZ
- NPI 1760652580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363046400000",
"number": "1548303571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 S SALINA ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023527",
"telephone_number": "315-476-7921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 S SALINA ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023527",
"telephone_number": "315-476-7921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNHAM",
"first_name": "MELANIE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2013-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "334442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02864464",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.