Melanie J Buliyat

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

691007 Issued in CA

Practice address

101 Bodin Cir
Travis Afb, CA 94535-1809

Phone

(707) 816-5610

NPI assigned

May 8, 2019

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

Other identifiers 1

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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1811552540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2433 HANCOCK DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331561",
            "telephone_number": "707-816-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-816-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULIYAT",
        "first_name": "MELANIE",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "691007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "691007",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Brown, LMSW
• Jeremy Alan Bruner, DDS
• Todd Bruno, M.D.
• Elizabeth Bryan, RN
• Cang Q. Bui, O.D.
• Seralvin V Burgos, IDMT
• Matthew Wheaton Burns, IDMT
• Kent Burr, D.O.
• Samantha Lyn Butler, M.D.
• Edward Bylotas, LCSW

• Case Management Registered Nurse in Travis Afb, CA
• Providers in Travis Afb, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.