Active NPI
Melissa
- Nursing Facility/Intermediate Care Facility
- Lakewood, OH
National Provider Identifier
1740699883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 155296
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.