Active NPI
Melissa C Siedell, RPH
- General Practice Physician
- Aurora, CO
National Provider Identifier
1952445678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 12535
- Practice address
- 2500 S Havana St
Aurora, CO 80014-1618 - Phone
- (303) 283-2650
- NPI assigned
- Feb 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 12535 | CO | Primary |
Addresses
Primary practice location
2500 S Havana St
Aurora, CO 80014-1618
Mailing address
2500 S Havana St
Aurora, CO 80014-1618
Phone (303) 283-2650
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12535 | CO | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1952445678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 S HAVANA ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800141618",
"telephone_number": "303-283-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 S HAVANA ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800141618",
"telephone_number": "303-283-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEDELL",
"first_name": "MELISSA",
"middle_name": "C",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-16",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "12535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.