Individual provider Active NPI

Nicole Melia Levetown, ANP

  • Adult Health Nurse Practitioner
  • Danbury, CT
National Provider Identifier
1902122021
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
004338 Issued in CT
Practice address
111 Osborne St
Suite 131
Danbury, CT 06810-6000
Phone
(203) 739-7155
Fax
(203) 739-8050
NPI assigned
Apr 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 536002 NY
Adult Health Nurse Practitioner 363LA2200X 305273 NY
Registered Nurse 163W00000X 092394 CT
Adult Health Nurse Practitioner 363LA2200X 004338 CT Primary

Addresses

Primary practice location

111 Osborne St
Suite 131
Danbury, CT 06810-6000

Mailing address

111 Osborne St
Suite 131
Danbury, CT 06810-6000
Phone (203) 739-7155

Other names 1

  • Ms. Nicole Melia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TN, SC, AR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100607000485 NY Practitioner - Nurse Practitioner 3971633686 Reassigns benefits to 1 organization
I20231215000178 TN Practitioner - Nurse Practitioner 3971633686 Reassigns benefits to 1 organization
I20240110002435 SC Practitioner - Nurse Practitioner 3971633686 Reassigns benefits to 1 organization
I20260209000847 AR Practitioner - Nurse Practitioner 3971633686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
092394CTMDRegistered Nurse
536002NYMDRegistered Nurse
004338CTMDAdult Health Nurse Practitioner
29586TNMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brookview Medical Associates, PLLC CurrentSince Nov 17, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 12, 2023 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1902122021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OSBORNE ST",
            "address_2": "SUITE 131",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106000",
            "telephone_number": "203-739-7155",
            "fax_number": "203-739-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OSBORNE ST",
            "address_2": "SUITE 131",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106000",
            "telephone_number": "203-739-7155",
            "fax_number": "203-739-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVETOWN",
        "first_name": "NICOLE",
        "middle_name": "MELIA",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "536002",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305273",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "092394",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "004338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "MELIA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.