MRS. MELISSA BAUMAN (NPI# 1073915377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073915377 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA BAUMAN |
| Other Name | MELISSA FOTTRELL |
| Credential | CRNP |
| Practice Address |
586 Moorsetown Dr. Moorestown Family Practice Bath PA 18014-9713 |
| Practice Telephone | 6107462010 |
| Practice Fax Number | 6107462060 |
| Mailing Telephone | 6107462010 |
| Mailing Fax Number | 6107462060 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP014014 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578020152 | Melissa Rose Bauman | Counselor | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2019-03-01 |
| 1164908927 | Melissa Bauman | Marriage & Family Therapist | 1017 Fayetteville Rd Se, Atlanta, GA 30316-2932 | 2018-07-16 |
| Street Address |
586 MOORSETOWN DR. MOORESTOWN FAMILY PRACTICE |
| City | BATH |
| State | PA |
| Zip Code | 18014-9713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536653 | Nicholas Mirabito | Specialist/Technologist | 270 E Northampton St, Bath, PA 18014 | 2017-09-04 |
| 1245783570 | Keystone Med LLC | Pharmacy | 7273-75 Park Drive, Bath, PA 18014 | 2016-08-03 |
| 1578721114 | Luther Edward Beil | General Practice | 2667 Community Drive, Bath, PA 18014 | 2008-05-30 |
| 1841415437 | James M. Orsi | Anesthesiology | 2225 Yost Rd., Bath, PA 18014 | 2007-04-17 |
| 1003999897 | Ronald J Lewullis | Pharmacist | 310 South Walnut St, Bath Drug, Bath, PA 18014 | 2006-10-23 |
| 1194810606 | Estelle R. Stein | Dentist | 116 S. Walnut St., Bath, PA 18014 | 2006-10-03 |
| 1255368361 | Brent M Nickischer | Family Medicine | 443 English Rd, Bath, PA 18014 | 2006-06-26 |
| 1750325064 | Donna Marie Copertino | Chiropractor | 151 N Chestnut St, Bath, PA 18014 | 2006-06-16 |
| 1457305849 | Northampton Chiropractic Center Inc | Chiropractor | 5964 Nor Bath Blvd, Bath, PA 18014 | 2006-05-20 |
| 1164595724 | Glenn A Clearie | Chiropractor | 5964 Nor Bath Blvd, Bath, PA 18014 | 2006-11-15 |
| Find all providers in zip 18014 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619368024 | Cathleen D Koslosky | Nurse Practitioner | 108 Centre St Ste 200, Bath, ME 04530 | 2015-02-08 |
| 1467652495 | Rosemary Barbara Randall | Nurse Practitioner | 7007 Rumsey St Ext, Bath, NY 14810 | 2007-07-18 |
| 1821054123 | Roxanne M Conway | Nurse Practitioner | 76 Veteran Avenue, Bath, NY 14810 | 2006-04-25 |
| 1053376335 | Ellen M Hey | Nurse Practitioner | 117 E Steuben St, Bath, NY 14810-1636 | 2006-04-19 |
| 1629032412 | Mary W Nichols | Nurse Practitioner | 76 Veterans Ave Bldg 30 Rm 202, Bath, NY 14810-0810 | 2006-04-17 |
| 1740833888 | Matthew Hincks | Nurse Practitioner | 108 Centre St, Bath, ME 04530-2550 | 2019-07-18 |
| 1841851573 | Erin Marie Lyons | Nurse Practitioner | 7573 State Route 54, Bath, NY 14810-9504 | 2019-06-24 |
| 1093236960 | Erica Jean Roy | Nurse Practitioner | 51 Winship St, Bath, ME 04530-2843 | 2017-06-30 |
| 1407177793 | Renee P Fonseca | Nurse Practitioner | 76 Veteran Ave, Bath, NY 14810 | 2010-06-21 |
| 1639218530 | Nancy Marie Houy | Nurse Practitioner | 115 Liberty St, Bath, NY 14810-1508 | 2007-02-06 |
| Find all providers in BATH | ||||
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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.