Melpprivatedutynur

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

MELPPRIVATEDUTYNUR

Practice address

189 Beech St
Valley Stream, NY 11580-4903

Phone

(718) 809-9685

NPI assigned

Mar 20, 2023

Organization subpart

No

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

Authorized official

Name

Melissa Pennant-Robbins, LPN

Title

Licensed Practical Nurse

Phone

(718) 809-9685

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Pennant

  • Licensed Practical Nurse
  • Valley Stream, NY
  • NPI 1043532864
  NPD

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1801598339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 BEECH ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804903",
            "telephone_number": "718-809-9685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BEECH ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804903",
            "telephone_number": "718-809-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELPPRIVATEDUTYNUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "PENNANT-ROBBINS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "718-809-9685",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison A Meehan
• Saman Mehdi
• Melissa Pennant
• Sarah Melmed
• Melody Monique Clemons-Smith
• Sybil Melville
• Zakir Memon, DO
• Filipe Silva Mendes, NP
• Mental Health
• Cristian Merchan, PHARM.D.

• Licensed Practical Nurse in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.