Active NPI
Ronda R Melton, LMSW
- Social Worker
- Independence, KS
National Provider Identifier
1609212893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW 9041
- Practice address
- 3751 W Main St
Independence, KS 67301-8446 - Phone
- (620) 331-1748
- NPI assigned
- May 15, 2013
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LMSW 9041 | KS | Primary |
Addresses
Primary practice location
3751 W Main St
Independence, KS 67301-8446
Mailing address
3751 W Main St
Independence, KS 67301-8446
Phone (203) 311-7486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201073750A | Medicaid | KS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW 9041 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabeth Layton Center, Inc. | 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.
-
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- Ottawa, KS
- NPI 1649296757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1609212893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3751 W MAIN ST",
"city": "INDEPENDENCE",
"state": "KS",
"postal_code": "673018446",
"telephone_number": "203-311-7486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 W MAIN ST",
"city": "INDEPENDENCE",
"state": "KS",
"postal_code": "673018446",
"telephone_number": "620-331-1748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELTON",
"first_name": "RONDA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-15",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "KS",
"license": "LMSW 9041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201073750A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Independence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.