MELONESE MCCALLISTER


Address: 3604 Tyre Neck Rd, Portsmouth, VA 23703-3158
Phone: 7576733243

MELONESE MCCALLISTER (NPI# 1023243367) 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) 1023243367
Entity Type Individual
Full Name MELONESE MCCALLISTER
Credential 0001199288
Practice Address 3604 Tyre Neck Rd
Portsmouth
VA 23703-3158
Practice Telephone 7576733243
Mailing Telephone 7576733243
Enumeration Date 2009-05-15
Last Update Date 2009-05-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0808X Registered Nurse
Specialization: Psych/Mental Health
0001199288 VA Nursing Service Providers

Office Location

Street Address 3604 TYRE NECK RD
City PORTSMOUTH
State VA
Zip Code 23703-3158

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Taxonomy Information

Taxonomy Code 163WP0808X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902281843 Unity Outreach Ministries of America, LLC Registered Nurse 1122 London Blvd, Portsmouth, VA 23704-2246 2015-07-21
1174600670 Carol Taaffe Registered Nurse 3300 Academy Avenue, Academy Crossing Medical Plaza, Portsmouth, VA 23703 2006-11-01
1265048060 Dillon Mccarvill Registered Nurse 3636 High St, Portsmouth, VA 23707-3236 2020-09-17
1952962664 Jamie L Moore Registered Nurse 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 2019-06-24
1457839375 Tristin Fay Jenkins Registered Nurse 303 Offnere St, Portsmouth, OH 45662-4655 2018-08-02
1073007084 Melissa Ronelle Jenkins Registered Nurse 902 Gallia St, Portsmouth, OH 45662-4139 2018-06-22
1215441704 Adam M Taylor Registered Nurse 620 John Paul Jones Cir, Portsmouth, VA 23708 2017-11-21
1477912509 Cynthia Bell Registered Nurse 901 Washington St, Portsmouth, OH 45662-3944 2016-02-17
1245698240 Roxanne Vice Registered Nurse 901 Washington St, Portsmouth, OH 45662-3944 2016-02-04
1417315409 Linda Mccain Registered Nurse 901 Washington St, Portsmouth, OH 45662-3944 2016-02-04
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Competitor

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City PORTSMOUTH
Zip Code 23703

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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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