Active NPI
Melissa Sullivan Corder, DC
- Chiropractor
- Newport, KY
National Provider Identifier
1659460707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4275
- Practice address
- 52 Carothers Rd
Newport, KY 41071 - Phone
- (859) 581-0949
- Fax
- (859) 581-1387
- NPI assigned
- Oct 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4275 | KY | Primary |
| Chiropractor | 111N00000X | 1942 | OH |
Addresses
Primary practice location
52 Carothers Rd
Newport, KY 41071
Mailing address
52 Carothers Rd
Newport, KY 41071
Phone (859) 581-0949
Other names 1
- Melissa Eleen Sullivan
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 |
|---|---|---|---|
| 4275 | KY | MD | Chiropractor |
| 1942 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wells Health Care, Inc. | Chiropractor | 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.
-
- Chiropractor
- Cincinnati, OH
- NPI 1316133440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659460707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 CAROTHERS RD",
"city": "NEWPORT",
"state": "KY",
"postal_code": "41071",
"telephone_number": "859-581-0949",
"fax_number": "859-581-1387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 CAROTHERS RD",
"city": "NEWPORT",
"state": "KY",
"postal_code": "41071",
"telephone_number": "859-581-0949",
"fax_number": "859-581-1387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDER",
"first_name": "MELISSA",
"middle_name": "SULLIVAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4275",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1942",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "SULLIVAN",
"middle_name": "ELEEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newport, KY
Sources for this page
- 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.