Melanie Cicala

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

4704254906 Issued in MI

Practice address

12839 Honey Locust Dr
Shelby Township, MI 48315-1395

Phone

(586) 899-8385

NPI assigned

Dec 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1780280388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12839 HONEY LOCUST DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483151395",
            "telephone_number": "586-899-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12839 HONEY LOCUST DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483151395",
            "telephone_number": "586-899-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICALA",
        "first_name": "MELANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704254906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina White PT LLC
• Michael Douglas Christy
• John David Chrustowski, OD
• Nelson Chua, RN
• Alyssa Church
• Robert Cieslak
• Cindy Ahn, L.Ac.
• Giovanni Ciraulo
• Daija Clark
• John Ross Clark, RN

• Primary Care Nurse Practitioner in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Primary Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.