Cheryl Melovidov, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

32340 Issued in AK

Practice address

1000 Polovina Turnpike
Saint Paul Island, AK 99660-0148

Phone

(907) 546-8300

Fax

(907) 546-8370

NPI assigned

Nov 7, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1902235187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "SAINT PAUL ISLAND",
            "state": "AK",
            "postal_code": "996600148",
            "telephone_number": "907-546-8300",
            "fax_number": "907-546-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POLOVINA TURNPIKE",
            "city": "SAINT PAUL ISLAND",
            "state": "AK",
            "postal_code": "996600148",
            "telephone_number": "907-546-8300",
            "fax_number": "907-546-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELOVIDOV",
        "first_name": "CHERYL",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "32340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City of Saint Paul
• Frederick Samuel Greene, PAC
• Barbra J Keller, FNP-C
• Cara Paige Alexandra Lestenkof-Mandregan, CHA-1
• Kimbreyana Chantee McDuffie, APRN, FNP-C
• Tribal Government of St. Paul Island (Aleut Community of St. Paul Island)

• Registered Nurse in Saint Paul Island, AK
• Providers in Saint Paul Island, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.