Active NPI
Melissa A Dimichele, LPN
- Licensed Practical Nurse
- Fairborn, OH
National Provider Identifier
1962849356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN155556
- Practice address
- 713 Cedar Dr
Apt 16
Fairborn, OH 45324-4897 - Phone
- (937) 360-6490
- NPI assigned
- May 27, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN155556 | OH | Primary |
| Nurse's Aide | 376K00000X | OH |
Addresses
Primary practice location
713 Cedar Dr
Apt 16
Fairborn, OH 45324-4897
Mailing address
713 Cedar Dr
Apt 16
Fairborn, OH 45324-4897
Phone (937) 360-6490
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 |
|---|---|---|---|
| PN155556 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1962849356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 CEDAR DR",
"address_2": "APT 16",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453244897",
"telephone_number": "937-360-6490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 CEDAR DR",
"address_2": "APT 16",
"city": "FAIRBORN",
"state": "OH",
"postal_code": "453244897",
"telephone_number": "937-360-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMICHELE",
"first_name": "MELISSA",
"middle_name": "A",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-27",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN155556",
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairborn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.