MELISSA HOLMAN (NPI# 1104207919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104207919 |
| Entity Type | Individual |
| Full Name | MELISSA HOLMAN |
| Credential | LCGC |
| Practice Address |
615 N Michigan St South Bend IN 46601-1033 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746471100 |
| Practice Fax Number | 5746475907 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5742376069 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2017-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | 99067670A | IN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300009077 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063774305 | Melissa Lynn Holman | Counselor | 1035 Market St, Floor 4, San Francisco, CA 94103-1600 | 2012-06-12 |
| 1669567608 | Melissa Holman | Registered Nurse | 207 Haven Dr, Dothan, AL 36301-2919 | 2006-10-04 |
| 1104800937 | Melissa Jean Holman | Nurse Anesthetist, Certified Registered | 2080 Chambliss Ave, Cleveland Anesthesiologists Inc, Cleveland, TN 37311 | 2005-12-05 |
| Street Address |
615 N MICHIGAN ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801283 | Russell F Johnson | Radiology | 615 N Michigan St, 1st Floor, South Bend, IN 46601-1033 | 2005-09-14 |
| 1265048078 | Sarah Ellen Pritt | Technician | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-09-17 |
| 1740803238 | Taylor Reinhardt | Physician Assistant | 615 N Michigan St, South Bend, IN 46601-1033 | 2020-05-19 |
| 1720613268 | Jennifer Lynn Boyd | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-03-05 |
| 1104451798 | Ryan Lipinski | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1033 | 2020-03-04 |
| 1669007241 | Alexandra Rain Ross | Pharmacist | 615 N Michigan St, South Bend, IN 46601-1087 | 2020-03-04 |
| 1538717848 | Emily Mastelou-page | Nurse Practitioner | 615 N Michigan St, South Bend, IN 46601-1033 | 2019-08-29 |
| 1477021038 | Ashlee Dennise Swafford | Physician Assistant | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-11-12 |
| 1487132114 | South Bend Emergency Physicians, Inc | Emergency Medicine | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-08-03 |
| 1962993386 | Gail Gronek Weismann | Dietitian, Registered | 615 N Michigan St, South Bend, IN 46601-1033 | 2018-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326024431 | Gretchen Lynn Neff | Genetic Counselor, MS | 707 Cedar St, Suite 405, South Bend, IN 46617-2054 | 2005-12-20 |
| 1265045728 | Michael Christopher Zinsmeister | Genetic Counselor, MS | 100 Navarre Pl Ste 4410, South Bend, IN 46601-1171 | 2020-08-25 |
| 1730741687 | Kassi J Brooks | Genetic Counselor, MS | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2019-07-01 |
| 1063841252 | Julie Horsting | Genetic Counselor, MS | 100 Navarre Pl, Suite 4410, South Bend, IN 46601-1156 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626306 | Alexis Ann Mcentire | Genetic Counselor, MS | 1002 Wishard Blvd Ste 1100, Indianapolis, IN 46202-2872 | 2020-07-22 |
| 1235755711 | Kahlen Darr | Genetic Counselor, MS | 975 W Walnut St Ste 130, Indianapolis, IN 46202-5181 | 2020-06-22 |
| 1649895285 | Kelly Jean Schmit | Genetic Counselor, MS | 410 W 10th St # 4048, Indianapolis, IN 46202-3010 | 2020-06-09 |
| 1922622893 | Christina Bouril | Genetic Counselor, MS | 975 W Walnut St # Ib130, Indianapolis, IN 46202-5181 | 2020-06-05 |
| 1104440304 | Lauren Frank | Genetic Counselor, MS | 575 Riley Hospital Dr Ste 4300, Indianapolis, IN 46202-5272 | 2020-06-03 |
| 1598391575 | Courtney Schuiteman | Genetic Counselor, MS | 10020 Don S Powers Dr, Munster, IN 46321-4054 | 2020-03-21 |
| 1285282798 | Malavika Praseed Mcgrail | Genetic Counselor, MS | 297 W Franciscan Dr Ste 104, Crown Point, IN 46307-4859 | 2019-08-28 |
| 1326690140 | Malia Rumbaugh | Genetic Counselor, MS | 410 W 10th St # 4003, Indianapolis, IN 46202-3010 | 2019-07-11 |
| 1013570977 | Rebecca Elaine Baud | Genetic Counselor, MS | 550 University Blvd Ste 5001, Indianapolis, IN 46202-5149 | 2019-04-17 |
| 1215402243 | Nicole Bertsch | Genetic Counselor, MS | 11050 Parkview Circle Dr Ste 1d, Fort Wayne, IN 46845-1739 | 2018-10-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on MELISSA HOLMAN.
| 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.