Melissa D Henderson

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

301 Kent St
Iron Mountain, MI 49801-1569

Phone

(906) 774-2561

NPI assigned

Jun 1, 2021

Last updated

Jun 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa D Huntington, Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1982270914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST STE C",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-228-9699",
            "fax_number": "906-228-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 KENT ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498011569",
            "telephone_number": "906-774-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MELISSA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HUNTINGTON, LEE",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather Lynn Hayes, PA-C
• Brianne Marie Hazelwood, LPN
• Elizabeth Ann Hellman, L.M.S.W.
• Laura Frances Helminen, FNP-C
• Kaitlyn Henderson, PHARMD
• Karol J Hendrickson, DO
• Virginia Determan Henke, PA-MPAS
• Justin Anthony Heupel, MA
• Kristin Marie Heyrman, DPT
• Lauren Hicks, OTR/L

• Peer Specialist in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.