Melissa Marie Decoteau

Primary specialty

HomemakerTaxonomy code 376J00000X

License

DEC892488 Issued in ND

Practice address

1708 24TH Ave S Apt 3
Grand Forks, ND 58201-6237

Phone

(701) 215-1226

NPI assigned

Nov 30, 2020

Last updated

Nov 30, 2020By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1699379602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N 4TH ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582033223",
            "telephone_number": "701-620-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 24TH AVE S APT 3",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016237",
            "telephone_number": "701-215-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOTEAU",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "ND",
            "license": "DEC892488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1474632",
            "state": "ND"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "1708 24th ave south apt 3",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1708 24th Ave S Apt 3",
            "city": "Grand Forks",
            "state": "ND",
            "country_code": "US",
            "postal_code": "582016237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paige Deck, SLP-LA
• Greg Decker, PH.D.
• Schawnn Marie Decker, PT
• Donovan James Decoteau
• Eric Decoteau
• Deep Roots Healing, PLLC
• Deere Wellness LLC
• Joshua Richard Deere, MD
• Kylie Deere, LICSW; LCSW
• Kyler Delancey

• Homemaker in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Homemaker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.