Individual provider Active NPI

Melissa Y Winkle, OTR/L

  • Occupational Therapist
  • Albuquerque, NM
National Provider Identifier
1871672592
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1775 Issued in NM
Practice address
3108 Alamogordo Dr NW
Albuquerque, NM 87120-1108
Phone
(505) 433-2583
Fax
(866) 904-9976
NPI assigned
Nov 3, 2006
Last updated
Oct 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1775 NM Primary

Addresses

Primary practice location

3108 Alamogordo Dr NW
Albuquerque, NM 87120-1108

Mailing address

3108 Alamogordo Dr NW
Albuquerque, NM 87120-1108
Phone (505) 433-2583

Other identifiers 1

IdentifierTypeStateIssuer
03556239MedicaidNM

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
1775NMMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dogwood Therapy Services Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1871672592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 ALAMOGORDO DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201108",
            "telephone_number": "505-433-2583",
            "fax_number": "866-904-9976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 ALAMOGORDO DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201108",
            "telephone_number": "505-433-2583",
            "fax_number": "866-904-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINKLE",
        "first_name": "MELISSA",
        "middle_name": "Y",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "1775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03556239",
            "state": "NM"
        }
    ],
    "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 Oct 28, 2015; 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.