Individual provider Active NPI

Melissa Kaye Windham

  • Student in an Organized Health Care Education/Training Program
  • Ione, CA
National Provider Identifier
1922744838
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
119831 Issued in CA
Practice address
PO Box 409099
Ione, CA 95640-9099
Phone
(209) 274-4911
NPI assigned
May 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Student in an Organized Health Care Education/Training Program 390200000X 119831 CA Primary

Addresses

Primary practice location

PO Box 409099
Ione, CA 95640-9099

Mailing address

1212 N California St
Stockton, CA 95202-1552
Phone (209) 468-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424000101 TX Practitioner - Clinical Social Worker 9436675360 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119831CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
M a C T Health Board Incorporated Community Health Worker CurrentSince Apr 1, 2025 Accepting new patients
Corrections and Rehabilitation-Headquarters CurrentSince Mar 11, 2025 Accepting new patients
Corrections and Rehabilitation-Headquarters CurrentSince Mar 11, 2025 Accepting new patients
Turning Point Community Programs PastSince May 1, 2022 Accepting new patients
M a C T Health Board Incorporated Community Health Worker Past Accepting new patients
M a C T Health Board, Incorporated Past Accepting new patients
M a C T Health Board Incorporated Community Health Worker Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients
M a C T Health Board Incorporated Community Health Worker Past Accepting new patients

Locations

305 Preston Ave
Ione, CA 95640
Phone (209) 274-2183

12140 New York Ranch Rd
Jackson, CA 95642
Phone (209) 257-2400

940 Sylva Ln
Ste B
Sonora, CA 95370
Phone (209) 288-6502

13975 Mono Way
Ste J
Sonora, CA 95370
Phone (209) 533-3996

1906 Vista del Lago Dr
Ste L
Valley Springs, CA 95252
Phone (209) 755-1490

Interoperability endpoints

  • Direct secure messaging: melissa.windham.p1@direct.macthealth.nextgenshare.com

Organizations & group practices 9

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": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1922744838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952021552",
            "telephone_number": "209-468-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 409099",
            "city": "IONE",
            "state": "CA",
            "postal_code": "956409099",
            "telephone_number": "209-274-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "MELISSA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "119831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ione, CA

Sources for this page

Verify at the official NPI Registry.