Active NPI
Melissa Kaye Windham
- Student in an Organized Health Care Education/Training Program
- Ione, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 119831
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119831 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M a C T Health Board Incorporated | Community Health Worker | Current | Accepting new patients |
| Corrections and Rehabilitation-Headquarters | Current | Accepting new patients | |
| Corrections and Rehabilitation-Headquarters | Current | Accepting new patients | |
| Turning Point Community Programs | 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 |
| 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- San Andreas, CA
- NPI 1366519431
Community Health Worker, TX
-
- Pharmacy
- Ione, CA
- NPI 1700412368
-
- Pharmacy
- Ione, CA
- NPI 1912532730
-
- Federally Qualified Health Center (FQHC)
- Sonora, CA
- NPI 1154147445
Community Health Worker
-
- Federally Qualified Health Center (FQHC)
- Sonora, CA
- NPI 1467444364
Community Health Worker
-
- Federally Qualified Health Center (FQHC)
- Valley Springs, CA
- NPI 1649091109
Community Health Worker
-
- Clinic/Center
- Sonora, CA
- NPI 1871237040
-
- Federally Qualified Health Center (FQHC)
- Sutter Creek, CA
- NPI 1417741869
-
- Community/Behavioral Health Agency
- Merced, CA
- NPI 1619098274
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.