Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MELLISA DEANDRADE
NPI 1811500028
Nurse Practitioner - Pediatrics in Rye Brook, NY

Active since August 26, 2020
113 BOWMAN AVE, RYE BROOK, NY 10573(914) 939-1477 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2026, Aug 26, 2020 (2 updates tracked since 2020).

About Ms. Mellisa Deandrade NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MELLISA DEANDRADE (NPI 1811500028) is an individual pediatrics provider in Rye Brook, New York, licensed in New York (202631228) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1811500028
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. MELLISA DEANDRADE
Location Address113 BOWMAN AVERye Brook, NY 10573-2808
Mailing Address179 Drake Ave Apt 2kNew Rochelle, NY 10805-1747
Sole ProprietorYes
Enumeration DateAugust 26, 2020
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
NPI 1811500028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NY · 202631228
113 BOWMAN AVE, Rye Brook, NY 10573

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (School)
113 BOWMAN AVE
RYE BROOK, NY 10573
Psychologist (School)
113 BOWMAN AVE
RYE BROOK, NY 10573
Speech-Language Pathologist
113 BOWMAN AVE
PORT CHESTER, NY 10573
Registered Nurse (School)
113 BOWMAN AVE
RYE BROOK, NY 10573
Speech-Language Pathologist
113 BOWMAN AVE
RYE BROOK, NY 10573
Social Worker
113 BOWMAN AVE
RYE BROOK, NY 10573
Specialist
113 BOWMAN AVE
RYE BROOK, NY 10573

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mellisa Deandrade's NPI number?

The NPI number for Mellisa Deandrade is 1811500028. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Mellisa Deandrade located?

Mellisa Deandrade practices at 113 Bowman Ave, Rye Brook, NY 10573. The listed phone number is (914) 939-1477.

What is Mellisa Deandrade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Mellisa Deandrade was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.