MRS. MELISSA DUNLEAVY (NPI# 1043587884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043587884 |
Entity Type | Individual |
Full Name | MRS. MELISSA DUNLEAVY |
Credential | CRNP |
Practice Address |
800 Spruce St Phila PA 19107-6130 |
Mailing Address |
800 Spruce St 2nd Floor Cathcart Bldg. Philadelphia PA 19107-6130 |
Practice Telephone | 2158293191 |
Mailing Telephone | 2158293191 |
Enumeration Date | 2011-11-22 |
Last Update Date | 2014-12-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
22E243M2 | PA | Nursing Service Providers |
Y | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
SP011034 | PA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
800 SPRUCE ST |
City | PHILA |
State | PA |
Zip Code | 19107-6130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649590910 | Silke Heinisch | Student in an Organized Health Care Education/Training Program | 800 Spruce St, Phila, PA 19107-6130 | 2010-06-09 |
1265766968 | Pennsylvania Hospital | General Acute Care Hospital | 800 Spruce St, 5 Preston, Phila, PA 19107-6130 | 2009-09-28 |
1740214428 | Steven A Glasser | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-10 |
1629000559 | Frank Ferrara | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-07 |
1831129188 | Michael Burns | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-03 |
1053340828 | Guido Ascanio | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-02 |
1659300432 | David Banov | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-02 |
1508895327 | Dana E Daidone | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-02 |
1245269992 | Paul Forzley | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-07-02 |
1760419477 | Joseph Emilis Oliva | Anesthesiology | 800 Spruce St, Phila, PA 19107-6130 | 2006-06-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
Find all providers in zip 19107 |
Taxonomy Code | 363LP0222X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316485295 | Heather Kulp | Nurse Practitioner | 160 E Erie Ave, Phila, PA 19134-1011 | 2017-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013427582 | Lauren Marie Louderback | Nurse Practitioner | 3401 Civic Center Blvd Fl 7, Philadelphia, PA 19104-4319 | 2017-10-10 |
1225376437 | Adam Ryan Denson | Nurse Practitioner | 3504 Ainslie St, Philadelphia, PA 19129-1630 | 2013-01-22 |
1952688152 | Lauren Leigh Charters | Nurse Practitioner | 3400 Civic Center Blvd # 439, Philadelphia, PA 19104-5127 | 2011-11-16 |
1407157530 | Jacqueline M. Ochsenreither | Nurse Practitioner | 34th & Civic Ctr. Blvd., The Children's Hospital of Philadelphia, Phila., PA 19104 | 2010-11-05 |
1679708218 | Amy Woods Donaldson | Nurse Practitioner | 2734 Pittsburgh Ct, Sewickley, PA 15143-6514 | 2009-05-27 |
1275786964 | Jacqueline Ioli | Nurse Practitioner | 4510 Frankford Avenue, Philadelphia, PA 19124 | 2008-10-28 |
1457511180 | Judy Trivits Verger | Nurse Practitioner | 17 Ridings Way, Chadds Ford, PA 19317-9164 | 2008-06-16 |
1912173576 | Kathleen A O'connor | Nurse Practitioner | 24 Walton Ct, Newtown, PA 18940-1864 | 2008-05-05 |
1346840519 | Vanessa Leigh Jones | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-27 |
1437756020 | Jennifer-rose Eccles | Nurse Practitioner | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-10-06 |
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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.