Active NPI
Yanisha Iris Melendez
- Community Health Worker
- Springfield, MA
National Provider Identifier
1679014658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 140 High St
Springfield, MA 01105-1442 - Phone
- (413) 495-1500
- NPI assigned
- Mar 10, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
140 High St
Springfield, MA 01105-1442
Mailing address
192 Lucerne Rd
Springfield, MA 01119-1837
Phone (413) 219-4754
Other practice location 1
258 Old Lyman Rd
South Hadley, MA 01075-2653
Phone (413) 219-4754
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": "1489104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1679014658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 LUCERNE RD",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011191837",
"telephone_number": "413-219-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 HIGH ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011051442",
"telephone_number": "413-495-1500"
}
],
"practiceLocations": [
{
"address_1": "258 Old Lyman Rd",
"address_purpose": "LOCATION",
"city": "South Hadley",
"state": "MA",
"postal_code": "010752653",
"country_code": "US",
"telephone_number": "413-219-4754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELENDEZ",
"first_name": "YANISHA",
"middle_name": "IRIS",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-10",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.