Individual provider Active NPI

Mellysa Felipe, MSW

  • Case Manager/Care Coordinator
  • Cutler Bay, FL
National Provider Identifier
1982061933
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
10720 Caribbean Blvd Ste 320
Cutler Bay, FL 33189-1244
Phone
(786) 234-5888
Fax
(786) 231-5880
NPI assigned
Jan 21, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Case Management Agency 251B00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

10720 Caribbean Blvd Ste 320
Cutler Bay, FL 33189-1244

Mailing address

10720 Caribbean Blvd Ste 320
Cutler Bay, FL 33189-1244
Phone (786) 234-5888

Other practice location 1

700 S Royal Poinciana Blvd Ste 300
Miami Springs, FL 33166-6667
Phone (305) 668-9000

Other identifiers 1

IdentifierTypeStateIssuer
016613000MedicaidFL

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982061933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 CARIBBEAN BLVD STE 320",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891244",
            "telephone_number": "786-234-5888",
            "fax_number": "786-231-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 CARIBBEAN BLVD STE 320",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331891244",
            "telephone_number": "786-234-5888",
            "fax_number": "786-231-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Royal Poinciana Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Miami Springs",
            "state": "FL",
            "postal_code": "331666667",
            "country_code": "US",
            "telephone_number": "305-668-9000",
            "fax_number": "305-662-1788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIPE",
        "first_name": "MELLYSA",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016613000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.