Michael Philip Menke, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

169059 Issued in MA

Practice address

415 Columbia Rd
Dorchester, MA 02125-2424

Phone

(617) 740-8184

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629165014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 OAKVIEW TER",
            "address_2": "#2",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304902",
            "telephone_number": "617-522-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 COLUMBIA RD",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021252424",
            "telephone_number": "617-740-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKE",
        "first_name": "MICHAEL",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "169059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meylin Melgarejo Soto, DMD
• Barbara L Mendes, M.D.
• Manuel Mendes III
• Deborah Milagros Mendez
• Zuzana Mendez
• Terrance Mercer
• Karin Mereciano, RN, BSN
• Sarah L Merin, LCSW
• Grier H Merwin, M.D.
• Metro Health Foundation of Massachusetts, Inc.

• Home Health Registered Nurse in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Home Health Registered Nurse in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.