Active NPI
Alice P. Mello, PA-C
- Physician Assistant
- Lebanon, NH
National Provider Identifier
1871508754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0424
- Practice address
- 1 Medical Center Dr
DHMC- Department of Pediatric Neurology
Lebanon, NH 03756-1000 - Phone
- (603) 653-9668
- NPI assigned
- Jul 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0424 | NH | Primary |
Addresses
Primary practice location
1 Medical Center Dr
DHMC- Department of Pediatric Neurology
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
DHMC- Department of Pediatric Neurology
Lebanon, NH 03756-1000
Phone (603) 653-9668
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0AP1673 | Medicaid | VT | |
| 30332150 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0424 | NH | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1871508754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC- DEPARTMENT OF PEDIATRIC NEUROLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-653-9668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "DHMC- DEPARTMENT OF PEDIATRIC NEUROLOGY",
"city": "LEBANON",
"state": "NH",
"postal_code": "037561000",
"telephone_number": "603-653-9668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLO",
"first_name": "ALICE",
"middle_name": "P.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-29",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "0424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0AP1673",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30332150",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.