Lynn E Mellencamp, CN.10784-NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

COA.10784-NP Issued in OH

Practice address

9403 Kenwood Rd
Suite B-100
Cincinnati, OH 45242-6895

Phone

(513) 891-8045

Fax

(513) 891-8110

NPI assigned

Jul 16, 2009

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5662/brand/1/csg/1/fhir/r4

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.

• The Dermatology Group, Inc

  • Dermatology Physician
  • Mason, OH
  • NPI 1780617860
  Medicare reassignment NPD

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1821228529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 TENNYSON DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 KENWOOD RD",
            "address_2": "SUITE B-100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426895",
            "telephone_number": "513-891-8045",
            "fax_number": "513-891-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLENCAMP",
        "first_name": "LYNN",
        "middle_name": "E",
        "credential": "CN.10784-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.10784-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Melink, MD
• Melissa Bowman OD Inc
• Melissa Bowman OD Inc
• Melissa L. Schroer Inc. (Delhi Family Care Associates)
• Meljonson Healthcare Services. LLC
• Catherine Mellman, LPN
• Michael W Mellon, PHD
• Sabine Mellor-Heineke, MD
• Kira Kristen Mellups, PSY.D.
• Melodic Connections, Inc.

• Nurse Practitioner in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.