MRS. MELISSA FAY PETERS (NPI# 1114439510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114439510 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA FAY PETERS |
| Credential | ARNP |
| Practice Address |
5085 West Us Highway 90 Lake City FL 32055 |
| Practice Telephone | 3867520090 |
| Practice Fax Number | 3867199494 |
| Mailing Telephone | 3867520090 |
| Mailing Fax Number | 3867199494 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 9291513 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982217352 | Melissa Anne Peters | Family Medicine | 2041 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-26 |
| 1760900765 | Melissa Peters | Massage Therapist | 823 W Larson Rd, Bellingham, WA 98226 | 2017-08-30 |
| 1710361035 | Melissa Peters | Speech-Language Pathologist | 1425 N Alta Vista Blvd, Apt 112, Los Angeles, CA 90046-4338 | 2015-07-16 |
| 1154739621 | Melissa Peters | Chiropractor | 2344 Camanche Ave, Clinton, IA 52732-6034 | 2014-07-29 |
| 1942645429 | Melissa Marie Peters | Social Worker | 25152 Elk Lick Rd Ste 220, South Riding, VA 20152-4507 | 2013-05-09 |
| 1184068397 | Melissa Peters | Nutritionist | 240 W Indiantown Rd Ste 102, Jupiter, FL 33458-3548 | 2013-04-18 |
| 1184883605 | Melissa Marie Peters | Orthopaedic Surgery | 145 Michigan St Ne Ste 5500, Grand Rapids, MI 49503-2565 | 2008-06-09 |
| 1861481178 | Melissa Peters | Speech-Language Pathologist | 8402 Six Forks Rd, Suite 101, Raleigh, NC 27615-3070 | 2005-10-19 |
| 1972072817 | Melissa Peters | Community Health Worker | 320 Executive Dr, Marion, OH 43302-6373 | 2018-11-21 |
| 1689187171 | Melissa Pauline Peters | Social Worker | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2017-11-07 |
| Street Address |
5085 WEST US HIGHWAY 90 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| 1437579372 | Shara Evans | Specialist | 501 Nw Lake City Ave, Apt 103, Lake City, FL 32055 | 2014-04-18 |
| Find all providers in zip 32055 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584606 | Caroline Witt Nettles | Nurse Practitioner | 228 Nw Ranch Ct, Lake City, FL 32055-8922 | 2020-07-06 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1942321575 | Tracie Ledora Mitchem-green | Nurse Practitioner | 295 Nw Commons Loop # 115-105, Lake City, FL 32055-7721 | 2007-04-02 |
| 1366477002 | Mary Ellen Mclendon | Nurse Practitioner | 160 Se Saint Johns St, Lake City, FL 32025-4491 | 2006-07-11 |
| 1366471914 | Vida V Umstead | Nurse Practitioner | 4225 Nw American Ln, Lake City, FL 32055-8841 | 2006-07-03 |
| 1689654584 | Ira Lee | Nurse Practitioner | 777 W Duval St, Lake City, FL 32055-5806 | 2006-01-18 |
| 1346249406 | Matthew Neil Melvin | Nurse Practitioner | 1847 Sw Barnett Way, Lake City, FL 32025-6957 | 2005-07-20 |
| 1922007475 | Colleen A Thompson | Nurse Practitioner | 4196 W Us Highway 90, Ste 105, Lake City, FL 32055-8833 | 2005-07-18 |
| 1629077144 | Stacey Cervantes | Nurse Practitioner | 1140 Sw Bascom Norris Dr Ste 104, Lake City, FL 32025-1329 | 2005-07-18 |
| Find all providers in LAKE CITY | ||||
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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.