Organization Active NPI

Melissa

  • Nursing Facility/Intermediate Care Facility
  • Lakewood, OH
National Provider Identifier
1740699883
Registry record updated Aug 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
155296 Issued in OH
Legal business name
MELISSA
Practice address
13501 Lakewood Heights Blvd Apt 5
Lakewood, OH 44107-6157
Phone
(216) 536-6605
NPI assigned
Aug 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2014

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

Authorized official

Name
Melissa Shantell Scott
Title
LPN
Phone
(216) 536-6605

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 155296 OH Primary

Addresses

Primary practice location

13501 Lakewood Heights Blvd Apt 5
Lakewood, OH 44107-6157

Mailing address

13501 Lakewood Heights Blvd Apt 5
Lakewood, OH 44107-6157
Phone (216) 536-6605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406937600000",
    "number": "1740699883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13501 LAKEWOOD HEIGHTS BLVD APT 5",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441076157",
            "telephone_number": "216-536-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13501 LAKEWOOD HEIGHTS BLVD APT 5",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441076157",
            "telephone_number": "216-536-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-02",
        "last_updated": "2014-08-02",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "SHANTELL",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "216-536-6605"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "155296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2014; 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.