Active NPI
Robyn Mellang
- Occupational Therapist
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 073264
- Practice address
- 5114 Bushnell Ave
Sioux City, IA 51106-3737 - Phone
- (605) 691-5093
- NPI assigned
- Jan 22, 2015
- Last updated
- Jun 11, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 073264 | IA | Primary |
Addresses
Primary practice location
5114 Bushnell Ave
Sioux City, IA 51106-3737
Mailing address
5114 Bushnell Ave
Sioux City, IA 51106-3737
Phone (605) 691-5093
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, SD
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2441 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients |
Locations
118 N 7th Ave
Sheldon, IA 51201
Phone (712) 324-5041
800 Oak St
Sheldon, IA 51201
Phone (712) 324-5356
Organizations & group practices 4
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.
-
dba Sanford Health Lake Park Clinic
- Multi-Specialty Clinic/Center
- Lake Park, IA
- NPI 1134787930
-
dba Sanford Clinic Hartley
- Family Medicine Physician
- Hartley, IA
- NPI 1821270679
-
dba Sanford Clinic Mountain Lake
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1891184255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5114 BUSHNELL AVE",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511063737",
"telephone_number": "605-691-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5114 BUSHNELL AVE",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511063737",
"telephone_number": "605-691-5093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLANG",
"first_name": "ROBYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "073264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.