Melissa Renee Barcelos, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95020903 Issued in CA

Practice address

12619 Bentley St
Waterford, CA 95386-9011

Phone

(833) 850-3500

NPI assigned

May 18, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: melissa.barcelos.p3@direct.livingstoncommunity.nextgenshare.com

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1629715917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 RANGER ST",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953618693",
            "telephone_number": "209-535-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12619 BENTLEY ST",
            "city": "WATERFORD",
            "state": "CA",
            "postal_code": "953869011",
            "telephone_number": "833-850-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCELOS",
        "first_name": "MELISSA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95020903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Gust Benson, RN, FNP
• Marissa Boire
• Charles C. Kim, D.D.S., Inc.
• Dennis Cook Jr.
• Tatianna Renee Dean

• All providers in Waterford, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.