Individual provider Active NPI

Theresa M. Meloche, ARNP

  • Family Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1568791069
Registry record updated Nov 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9167432 Issued in FL
Practice address
4142 Mariner Blvd
#243
Spring Hill, FL 34609-0000
Phone
(800) 561-4325
NPI assigned
Dec 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9167432 FL Primary
Family Nurse Practitioner 363LF0000X 209007485 IL
Family Nurse Practitioner 363LF0000X AP 3655 AZ
Family Nurse Practitioner 363LF0000X 209-007485 IL

Addresses

Primary practice location

4142 Mariner Blvd
#243
Spring Hill, FL 34609-0000

Mailing address

4142 Mariner Blvd
#243
Spring Hill, FL 34609-0000

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

State licenses

LicenseStateTypeSpecialty
AP 3655AZMDFamily Nurse Practitioner
209-007485ILMDFamily Nurse Practitioner
209007485ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Healthcaring Clinic of Florida, LLC Family Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478995200000",
    "number": "1568791069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 MARINER BLVD",
            "address_2": "#243",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 MARINER BLVD",
            "address_2": "#243",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346090000",
            "telephone_number": "800-561-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELOCHE",
        "first_name": "THERESA",
        "middle_name": "M.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2016-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9167432",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007485",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP 3655",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-007485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2016; 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.