Active NPI
Melody Jean Garcia, RDH
- Dental Hygienist
- Jacksonville, FL
National Provider Identifier
1962012328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 19662
- Practice address
- Navy Medicene Support Command : Medical Staff Services
BLDG H, 2005 Knight Lane
Jacksonville, FL 32221-0140 - Phone
- (760) 725-3213
- NPI assigned
- Jul 31, 2020
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 19662 | CA | Primary |
Addresses
Primary practice location
Navy Medicene Support Command : Medical Staff Services
BLDG H, 2005 Knight Lane
Jacksonville, FL 32221-0140
Mailing address
Navy Medicene Support Command : Medical Staff Services
BLDG H, 2005 Knight Lane
Jacksonville, FL 32221-0140
Phone (760) 725-3213
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 |
|---|---|---|---|
| 19662 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596153600000",
"number": "1962012328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVY MEDICENE SUPPORT COMMAND : MEDICAL STAFF SERVICES",
"address_2": "BLDG H, 2005 KNIGHT LANE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322210140",
"telephone_number": "760-725-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVY MEDICENE SUPPORT COMMAND : MEDICAL STAFF SERVICES",
"address_2": "BLDG H, 2005 KNIGHT LANE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322210140",
"telephone_number": "760-725-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "MELODY",
"middle_name": "JEAN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-31",
"last_updated": "2020-07-31",
"certification_date": "2020-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "19662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.