Melina Leigh Corriveau

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Charolette, NC

NPI 1992509491 · NPPES record last updated May 29, 2025

Key facts

NPI
1992509491
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
CMC/Levine Children'S Hospital
1000 Blythe Blvd., 4TH Floor, Meb
Charolette, NC 28203-5812
Phone
(704) 381-6800
Fax
(704) 381-6841
NPI assigned
Apr 3, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250805003935 NC Order and Referring Only - Pediatric Medicine
Practitioner - Pediatric Medicine
8921516360

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

CMC/Levine Children'S Hospital
1000 Blythe Blvd., 4TH Floor, Meb
Charolette, NC 28203-5812

Mailing address

701 Moss Cliff Cir
McKinney, TX 75071-7628
Phone (214) 449-5927

Sources for this page

Verify at the official NPI Registry.