Individual provider Active NPI

Melanie Ondong, DNP, FNP-C

  • Family Nurse Practitioner
  • Lacey, WA
National Provider Identifier
1952858755
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60690534 Issued in WA
Practice address
4800 College St SE
Lacey, WA 98503-4389
Phone
(188) 847-2263
NPI assigned
Sep 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60690534 WA Primary

Addresses

Primary practice location

4800 College St SE
Lacey, WA 98503-4389

Mailing address

4800 College St SE
Lacey, WA 98503-4389

Other practice location 1

945 Hildebrand Ln NE Ste 100
Bainbridge Island, WA 98110-2887
Phone (206) 991-2121

Other practice location 2

25989 Barber Cut Off Rd NE Ste A3
Kingston, WA 98346-8456
Phone (360) 297-4911

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mondong98893@wm.providencedirect.org Direct
Direct Messaging Address mondong98893@wm.providencedirect.org Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161117001295 WA Practitioner - Nurse Practitioner 5597044420 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Apr 27, 2020 Accepting new patients
Providence Health & Services Washington CurrentSince Apr 27, 2020 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1010 S Scheuber Rd
Ste 34
Centralia, WA 98531
Phone (360) 807-7966

4800 College St SE
Olympia, WA 98503
Phone (360) 456-7575

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

Interoperability endpoints

  • Direct secure messaging: mondong98893@wm.providencedirect.org
  • Direct secure messaging: melanie.ondong@811007325962244.direct.elationemr.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1952858755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 COLLEGE ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 COLLEGE ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985034389",
            "telephone_number": "188-847-2263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 Hildebrand Ln NE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bainbridge Island",
            "state": "WA",
            "postal_code": "981102887",
            "country_code": "US",
            "telephone_number": "206-991-2121",
            "fax_number": "206-991-2151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25989 Barber Cut Off Rd NE Ste A3",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "WA",
            "postal_code": "983468456",
            "country_code": "US",
            "telephone_number": "360-297-4911",
            "fax_number": "360-297-7047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONDONG",
        "first_name": "MELANIE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-08",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60690534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mondong98893@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "25989 Barber Cut Off Rd NE Ste A3",
            "city": "Kingston",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983468456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mondong98893@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "945 Hildebrand Ln NE Ste 100",
            "city": "Bainbridge Island",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981102887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.