MELYSSA CARROLL MOONEY


Address: 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453
Phone: 5407417614

MELYSSA CARROLL MOONEY (NPI# 1003246752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003246752
Entity Type Individual
Full Name MELYSSA CARROLL MOONEY
Credential CRNA
Practice Address 1001 Sam Perry Blvd
Fredericksburg
VA 22401-4453
Mailing Address 3100 Spring Forest Rd Ste 130
Raleigh
NC 27616-2880
Practice Telephone 5407417614
Mailing Telephone 8882809533
Mailing Fax Number 9198739821
Enumeration Date 2013-11-16
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 0024171487 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1010 Downman Pl, Fredericksburg, VA 224014670 7208398900

Office Location

Street Address 1001 SAM PERRY BLVD
City FREDERICKSBURG
State VA
Zip Code 22401-4453

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730185398 Torrey Hawley Nurse Anesthetist, Certified Registered 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2005-06-28
1023622529 Jacob Dillon Gooden Physician Assistant 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-09-02
1508478462 Sabrina Brandi Cervantez Registered Nurse 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-08-20
1275144297 Emily Burger Pharmacist 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-08-13
1144839762 Briana Lafuria Registered Nurse 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-07-29
1831724301 Yaru Chen Registered Nurse 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-03-05
1922631456 Christopher Barnes Registered Nurse 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-02-12
1649803172 Richard L Derrick Registered Nurse 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2020-02-12
1851930838 Markia Stewart Dudley Nurse Practitioner 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2019-12-23
1861030637 Amalea Suzette Gray Pharmacist 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2019-12-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992313415 Amanda Dodd Behavior Technician 1411 Princess Anne, Fredericksburg, VA 22401 2020-07-21
1215567326 Britteny Whitaker Behavior Technician 1411 Princess Ann, Fredericksburg, VA 22401 2020-01-17
1396389433 Ashley Stanevich Behavior Technician 1411 Princess Anne Lane, Fredericksburg, VA 22401 2019-11-01
1265074231 Anna Kelleher Behavior Technician 1411 Princess Anna St, Frericksburg, VA 22401 2019-10-11
1649824152 Zaan Z Ali Audiologist 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 2019-08-01
1790342426 Michael Williams Jr. Physician Assistant 411 B Park Hill Dr, Frederickburg, VA 22401 2019-05-29
1285290965 Ann Damalie Namabiro Behavior Technician 1411 Princess Ann Street, Fredericksburg, VA 22401 2019-05-17
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1003323056 Mariah Mazzariello Behavior Technician 1411 Princess Anne Stree, Fredericksburg, VA 22401 2017-12-29
1336655281 Hina Zafar Behavior Technician 1411 Princess Anne St., Fredericksburg, VA 22401 2017-12-14
Find all providers in zip 22401

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215904479 Mary A Hardie Nurse Anesthetist, Certified Registered 415 S Washington St, Fredericksburg, TX 78624-4636 2006-03-07
1568462638 Charles Cross Nurse Anesthetist, Certified Registered 206 W Windcrest St, Fredericksburg, TX 78624-4408 2005-07-29
1730185398 Torrey Hawley Nurse Anesthetist, Certified Registered 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2005-06-28
1801449889 Matthew John Redman Nurse Anesthetist, Certified Registered 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2019-07-19
1225597305 Lyle Jeremy Jackson Nurse Anesthetist, Certified Registered 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2019-03-18
1386152890 Connie W Fu Nurse Anesthetist, Certified Registered 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2018-01-18
1780191338 Shawn Taylor Henson Nurse Anesthetist, Certified Registered 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2018-01-04
1427449560 Hazel Pickering-luttrell Nurse Anesthetist, Certified Registered 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762 2015-02-11
1851719025 Gregory Shaun Wiggins Nurse Anesthetist, Certified Registered 1020 S State Highway 16, Fredericksburg, TX 78624-4471 2014-04-03
1386071686 Poonam S Upreti Nurse Anesthetist, Certified Registered 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2013-10-01
Find all providers in FREDERICKSBURG

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City FREDERICKSBURG
Zip Code 22401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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