Active NPI
Melanie Dawn McClure, OTRL
- Pediatric Occupational Therapist
- Klamath Falls, OR
National Provider Identifier
1922123546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 1053214
- Practice address
- 306 South 6TH Street
Klamath Falls, OR 97601 - Phone
- (541) 887-7362
- Fax
- (541) 273-2486
- NPI assigned
- Mar 20, 2007
- 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 | 2002023104 | MO | |
| Pediatric Occupational Therapist | 225XP0200X | 1053214 | OR | Primary |
Addresses
Primary practice location
306 South 6TH Street
Klamath Falls, OR 97601
Mailing address
306 South 6TH Street
Klamath Falls, OR 97601
Phone (541) 887-7362
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 475904736 | Medicaid | MO |
Other names 1
- Melanie Dawn Hoffard
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2002023104 | MO | MD | Pediatric Occupational Therapist |
| 1053214 | OR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WHD Corporation | Pediatrics | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1922123546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 SOUTH 6TH STREET",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "97601",
"telephone_number": "541-887-7362",
"fax_number": "541-273-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 SOUTH 6TH STREET",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "97601",
"telephone_number": "541-887-7362",
"fax_number": "541-273-2486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLURE",
"first_name": "MELANIE",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MO",
"license": "2002023104",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "OR",
"license": "1053214",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "475904736",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "HOFFARD",
"middle_name": "DAWN",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.