Melodey Aguirre, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9113616 Issued in FL

Practice address

3810 S Florida Ave Ste 120
Lakeland, FL 33813-1129

Phone

(863) 858-8000

Fax

(877) 531-4854

NPI assigned

Sep 24, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maguirre120694@direct.nemours.org

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.

• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1386658615

  Single Specialty

  Medicare reassignment NPD (past)
• Doctor Today TLC, LLC

  • Primary Care Clinic/Center
  • Lakeland, FL
  • NPI 1669400347
  Medicare reassignment
• Doctor Today TLC, LLC

  • Primary Care Clinic/Center
  • Lakeland, FL
  • NPI 1861689796
  NPD
• The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1265585806

  Single Specialty

  NPD
• The Nemours Foundation

  • Children's Hospital
  • Wilmington, DE
  • NPI 1467505073
  NPD

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1609483619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 S FLORIDA AVE STE 120",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131129",
            "telephone_number": "863-858-8000",
            "fax_number": "877-531-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 S FLORIDA AVE STE 120",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131129",
            "telephone_number": "863-858-8000",
            "fax_number": "877-531-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE",
        "first_name": "MELODEY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "PA9113616",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "melodey@doctortodaytlc.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Doctor Today TLC, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3810 S Florida Ave Ste 120",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338131129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elina Aguiar, CBHCM
• Susan Wells Aguiar, M.D.
• Aleah Aguilar, RN
• Cristina Aguilar
• Ernesto Aguilera, MD
• Ariana Rene Ahart
• Ahc Southland-Lakeland, LLC (Brookdale Highlands)
• Areebah Syed Ahmad
• Imran Ahmad, MD
• Maha Ahmad, DO

• Physician Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.

Verify at the official NPI Registry.