Active NPI
Melanie Larsson, CO
- Prosthetist
- Raleigh, NC
National Provider Identifier
1750773651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO03776
- Practice address
- 3224 Lake Woodard Dr
Raleigh, NC 27604-3659 - Phone
- (919) 231-6890
- NPI assigned
- Mar 2, 2015
- Last updated
- Sep 15, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CO005461 | NC | |
| Prosthetist | 224P00000X | CPO03776 | NC | Primary |
Addresses
Primary practice location
3224 Lake Woodard Dr
Raleigh, NC 27604-3659
Mailing address
3224 Lake Woodard Dr
Raleigh, NC 27604-3659
Phone (919) 231-6890
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
| License | State | Type | Specialty |
|---|---|---|---|
| CO005461 | NC | MD | Orthotist |
| CPO03776 | NC | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1750773651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3224 LAKE WOODARD DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276043659",
"telephone_number": "919-231-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3224 LAKE WOODARD DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276043659",
"telephone_number": "919-231-6890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSSON",
"first_name": "MELANIE",
"name_prefix": "Mrs.",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "NC",
"license": "CO005461",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NC",
"license": "CPO03776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.