Melanie McEndree, LMT,NMT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

7719 Issued in SC

Practice address

105 Lobolly Dr.
Moncks Corner, SC 29461

Phone

(843) 751-6017

NPI assigned

Jul 10, 2012

Last updated

Jul 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Assuage Etiquette,LLC

  • Public Health or Welfare Agency
  • Moncks Corner, SC
  • NPI 1588928832
  NPD (past) Authorized official

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1790040202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LOBLOLLY DR",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "294613513",
            "telephone_number": "843-751-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LOBOLLY DR.",
            "city": "MONCKS CORNER",
            "state": "SC",
            "postal_code": "29461",
            "telephone_number": "843-751-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCENDREE",
        "first_name": "MELANIE",
        "name_prefix": "Mrs.",
        "credential": "LMT,NMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "SC",
            "license": "7719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Matthews, PT
• Kelsey L. Mazzocco, ATC
• Donna M McClure
• Nicholas Aaron McCoy, D.C.
• Christy Y. McCrea, LPN
• Hayden McKenney, PA-C
• Bernice M McKenzie
• Tonya R McKinley, RN
• McKinney Oral Surgery LLC
• Brittany Danielle McLaurin, CPSS

• Community Health Worker in Moncks Corner, SC
• Providers in Moncks Corner, SC by specialty
• Community Health Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.