NPIMap

Individual provider Active NPI

Denise Yvette Melendez

  • Health Educator
  • Hallandale Beach, FL
National Provider Identifier
1780259127
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
DMMHC2021 Issued in FL
Practice address
11 Palm Ave
Hallandale Beach, FL 33009-6430
Phone
(954) 857-8479
Fax
(954) 246-0993
NPI assigned
May 26, 2021
Last updated
May 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X DMMHC2021 FL
Health Educator 174H00000X DMMHC2021 FL Primary

Addresses

Primary practice location

11 Palm Ave
Hallandale Beach, FL 33009-6430

Mailing address

11 Palm Ave
Hallandale Beach, FL 33009-6430
Phone (954) 857-8479

Other identifiers 1

IdentifierTypeStateIssuer
DMMHC2021OtherFLCHURCH

Other names 1

  • Ms. Denise Yvette Melendez Professional name

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
DMMHC2021FLMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Minds Mystic Healing Center CurrentSince Jun 22, 2021 Accepting new patients
The Divine Mind Healthcare Educational Advanced Learning Site CurrentSince Oct 30, 2022 Accepting new patients

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1780259127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PALM AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096430",
            "telephone_number": "954-857-8479",
            "fax_number": "954-246-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 PALM AVE",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330096430",
            "telephone_number": "954-857-8479",
            "fax_number": "954-246-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "DENISE",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "DMMHC2021",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "FL",
            "license": "DMMHC2021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHURCH",
            "identifier": "DMMHC2021",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "MELENDEZ",
            "middle_name": "YVETTE",
            "prefix": "MS.",
            "credential": "ELITE BILLING LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hallandale Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.