MRS. MELANIE ANN WYLIE (NPI# 1083735443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083735443 |
| Entity Type | Individual |
| Full Name | MRS. MELANIE ANN WYLIE |
| Credential | RN MSN CNS APN |
| Practice Address |
12 N 64th St Belleville IL 62223-3809 |
| Mailing Address |
29 Foxmoor Dr Maryville IL 62062-6729 |
| Practice Telephone | 6183977145 |
| Practice Fax Number | 6183970093 |
| Mailing Telephone | 6183448986 |
| Mailing Fax Number | 6183974368 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
309002368 | IL | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | APN LICENSE | 309002368 | 01 |
| IL | RN LICENSE | 041291221 | 01 |
| Street Address |
12 N 64TH ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457453615 | Kayla Lynne Anderson | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2006-09-01 |
| 1043846587 | Kelsey Stott | Social Worker | 12 N 64th St, Belleville, IL 62223-3809 | 2020-03-17 |
| 1982252201 | Alondra Anderson | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2019-08-29 |
| 1699236455 | Monique Marie Stroud | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2019-03-26 |
| 1194280008 | Melissa Marie Huebner | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2019-02-05 |
| 1790273795 | Joshua B Theiss | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2018-04-25 |
| 1891203535 | Jessica Elizabeth Biffar | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2018-01-16 |
| 1376058164 | Anna Pereira | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2017-12-04 |
| 1831634237 | Chestnut Health Systems, Inc | Clinic/Center | 12 N 64th St, Belleville, IL 62223-3809 | 2016-12-21 |
| 1427591015 | Brandy Hart | Counselor | 12 N 64th St, Suite 5, Belleville, IL 62223-3809 | 2016-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
| 1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
| 1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| 1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
| 1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
| Find all providers in zip 62223 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417579103 | Michele Ann Becker | Registered Nurse | 2030 Seminary Rd, Woodstock, IL 60098-6009 | 2020-05-15 |
| 1710519046 | Shaw Community Integration Services | Registered Nurse | 8119 S Vernon Ave, Chicago, IL 60619-4913 | 2020-02-05 |
| 1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
| 1336550557 | Jill E Divita | Registered Nurse | 1230 N. Highland Ave, Aurora, IL 60506 | 2014-05-09 |
| 1811249915 | Jasmina Peric | Registered Nurse | 14607 Stonegate Drive, Homer Glen, IL 60491 | 2012-10-12 |
| 1043502073 | Bethany A Young | Registered Nurse | 1305 E Indian Trl, Aurora, IL 60505-1600 | 2011-05-10 |
| 1811222086 | Mary Antos | Registered Nurse | 10002 S Komensky Ave, Oak Lawn, IL 60453-4140 | 2009-10-06 |
| 1427298298 | Mercy Chirpich | Registered Nurse | 18w082 Jamestown Ln, Villa Park, IL 60181-3865 | 2009-03-05 |
| 1326232372 | Marilyn Dam Rabolt | Registered Nurse | 112 Marryat Rd, Trout Valley, IL 60013-2644 | 2007-09-04 |
| 1518034784 | Marilyn Margarita Weaver | Registered Nurse | 2126 Marston Ln, Flossmoor, IL 60422-1334 | 2006-11-30 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62223 |
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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.