Active NPI
Melanie Carlson, MSOT
- Pediatric Occupational Therapist
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 11877
- Practice address
- 3000 Erwin Rd
Durham, NC 27705-4504 - Phone
- (919) 684-6669
- NPI assigned
- Jul 15, 2019
- Last updated
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 023511 | NY | |
| Pediatric Occupational Therapist | 225XP0200X | 11877 | NC | Primary |
Addresses
Primary practice location
3000 Erwin Rd
Durham, NC 27705-4504
Mailing address
1551 Atria Cir Apt 2113
Raleigh, NC 27604-5329
Other practice location 1
775 Haywood Rd
Asheville, NC 28806-3159
Phone (828) 774-5222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11877 | NC | MD | Professional Counselor |
| 023511 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients | |
| Physiatry Consultants of NC PLLC | Past | Accepting new patients |
Locations
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
3000 Erwin Rd
Durham, NC 27705
Phone (919) 668-3988
5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700
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 Duke University Hospital
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
-
dba Duke Diet and Fitness Center
- Family Medicine Physician
- Durham, NC
- NPI 1336448810
-
dba Duke Home Infusion
- Parenteral & Enteral Nutrition Supplies (DME)
- Durham, NC
- NPI 1427187525
-
- Physical Medicine & Rehabilitation Physician
- Morton Grove, IL
- NPI 1437736881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1902458466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 ATRIA CIR APT 2113",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276045329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ERWIN RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054504",
"telephone_number": "919-684-6669"
}
],
"practiceLocations": [
{
"address_1": "775 Haywood Rd",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288063159",
"country_code": "US",
"telephone_number": "828-774-5222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLSON",
"first_name": "MELANIE",
"credential": "MSOT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-15",
"last_updated": "2021-07-12",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "023511",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NC",
"license": "11877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.