Individual provider Active NPI

Melissa Y Dooley

  • Assisted Living Facility
  • Albuquerque, NM
National Provider Identifier
1790285641
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5855 Issued in NM
Practice address
7100 Carriage Rd NE
Albuquerque, NM 87109-2905
Phone
(505) 888-4434
Fax
(505) 293-9899
NPI assigned
Feb 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5855 NM Primary

Addresses

Primary practice location

7100 Carriage Rd NE
Albuquerque, NM 87109-2905

Mailing address

7100 Carriage Rd NE
Albuquerque, NM 87109-2905
Phone (505) 888-4434

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
5855NMMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dyb Assisted Living Facility Past Accepting new patients
Grace Adult Care Homes Assisted Living Facility Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1790285641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 CARRIAGE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092905",
            "telephone_number": "505-888-4434",
            "fax_number": "505-293-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 CARRIAGE RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092905",
            "telephone_number": "505-888-4434",
            "fax_number": "505-293-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "MELISSA",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NM",
            "license": "5855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.