Individual provider Active NPI

Melissa Jennifer Mokel

  • Primary Care Nurse Practitioner
  • South Windsor, CT
National Provider Identifier
1740811454
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1421 Issued in CT
Practice address
122 Cornerstone Dr
South Windsor, CT 06074-6303
Phone
(860) 268-2252
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1421 CT Primary

Addresses

Primary practice location

122 Cornerstone Dr
South Windsor, CT 06074-6303

Mailing address

122 Cornerstone Dr
South Windsor, CT 06074-6303

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL melissa.mokel@cox.net Other

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

State licenses

LicenseStateTypeSpecialty
1421CTMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1740811454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CORNERSTONE DR",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060746303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 CORNERSTONE DR",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060746303",
            "telephone_number": "860-268-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKEL",
        "first_name": "MELISSA",
        "middle_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CT",
            "license": "1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "melissa.mokel@cox.net",
            "affiliation": "N",
            "endpointDescription": "professional email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "there is no other endpoint content",
            "address_1": "122 Cornerstone Dr",
            "city": "South Windsor",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060746303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.