Melanie Cordoro, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AC000269 Issued in MD

Practice address

8901 Wisconsin Ave
BLDG 19, Deck 3, Room 3657
Bethesda, MD 20889-5630

Phone

(301) 319-2112

Fax

(301) 295-0981

NPI assigned

Oct 24, 2005

Last updated

Apr 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1679563456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "BLDG 19, DECK 3, ROOM 3657",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895630",
            "telephone_number": "301-319-2112",
            "fax_number": "301-295-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "BLDG 19, DECK 3, ROOM 3657",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208895630",
            "telephone_number": "301-319-2112",
            "fax_number": "301-295-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDORO",
        "first_name": "MELANIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "AC000269",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024166805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Copeland, EMT-B
• Philip Coppa, PT
• Coral Life Strategies, LLC (Coral Life Strategies)
• Philip Charles Corcoran, M.D.
• Mary Theresa Cord, AU.D.
• Justin Cain Cordova, MD
• Diana Coreas
• Corewood Care LLC (Corewood Homecare)
• Carrie Beth Corey, LAC., ATC, CMT
• Rebecca L Corlett, DPT

• Adult Health Nurse Practitioner in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.