Active NPI
Melissa Ann Damrell
- Child Intellectual and/or Developmental Disabilities Respite Care
- Cumberland, WI
National Provider Identifier
1619527447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite Care
- Practice address
- 950 1St Ave
Cumberland, WI 54829-9550 - Phone
- (715) 271-2143
- NPI assigned
- Sep 13, 2019
- Last updated
- Jun 15, 2020
- 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 |
|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | Primary |
Addresses
Primary practice location
950 1St Ave
Cumberland, WI 54829-9550
Mailing address
950 1St Ave
Cumberland, WI 54829-9550
Phone (715) 271-2143
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Home | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1619527447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 1ST AVE",
"city": "CUMBERLAND",
"state": "WI",
"postal_code": "548299550",
"telephone_number": "715-271-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 1ST AVE",
"city": "CUMBERLAND",
"state": "WI",
"postal_code": "548299550",
"telephone_number": "715-271-2143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMRELL",
"first_name": "MELISSA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-13",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Home",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "985 11th Ave",
"city": "Cumberland",
"state": "WI",
"country_code": "US",
"postal_code": "548299109",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cumberland, WI
- Cumberland Memorial Hospital Inc (Cumberland Healthcare)
- Cumberland Memorial Hospital, Inc (Maple Ridge Pharmacy)
- Cumberland Memorial Hospital, Inc (Cumberland Healthcare EMS)
- Cumberland Memorial Hospital, Inc (Cumberland Healthcare)
- D & E Inc. (Schneider Drug)
- Hope Lauren Desantis
- Caitlin Erickson
- Sarah Katherine Farr, FNP-C
- Tessa Lea Feeney, APNP
- Donald Fullerton, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.