MELISSA DEPERSIS (NPI# 1134673601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134673601 |
| Entity Type | Individual |
| Full Name | MELISSA DEPERSIS |
| Credential | NP |
| Practice Address |
5 College Ave Windsor NY 13865-4109 |
| Mailing Address |
33 Lewis Rd 2nd Floor Binghamton NY 13905-1048 |
| Practice Telephone | 6076551230 |
| Mailing Telephone | 6077298156 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
340942 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 COLLEGE AVE |
| City | WINDSOR |
| State | NY |
| Zip Code | 13865-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558308627 | Julie A Barnes | Nurse Practitioner | 5 College Ave, Windsor Family Care Center, Windsor, NY 13754 | 2006-05-31 |
| 1851998280 | Jessica Webb | Nurse Practitioner | 5 College Ave, Windsor, NY 13865-4109 | 2020-10-08 |
| 1770871196 | Lauren E Crane | Nurse Practitioner | 5 College Ave, Windsor, NY 13865-4109 | 2011-07-19 |
| 1881902039 | Jordan Matthew Glenn | Dentist | 5 College Ave, Windsor, NY 13865-4109 | 2010-09-22 |
| 1043309032 | Robert Michael Cantales | Dentist | 5 College Ave, Windsor, NY 13865 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801154083 | Windsor Emergency Services, Inc. | Ambulance | 4 Academy Street, Windsor, NY 13865 | 2012-04-25 |
| 1770667560 | Gary P Johnson | Pharmacy | 112 Main St, Windsor, NY 13865 | 2006-10-25 |
| 1982693644 | Windsor Volunteer Fire Company Inc | Ambulance | 4 Academy St, Windsor, NY 13865-0433 | 2005-10-17 |
| 1013293661 | Denise Annette Everett | Registered Nurse | 440 Foley Rd, Windsor, NY 13865-1007 | 2011-10-27 |
| 1306081229 | Jeanne C. Stracuzzi | Dietitian, Registered | 93 Riley Rd, Windsor, NY 13865-1034 | 2008-12-05 |
| 1336203181 | Jean Evans Siegrist | Pharmacist | 208 North Rd, Windsor, NY 13865-1209 | 2006-12-19 |
| 1568785400 | Richard Alan Siegrist | Pharmacist | 208 North Rd, Windsor, NY 13865-1209 | 2010-03-07 |
| 1285101618 | Michelle Pultz | Massage Therapist | 996 State Route 79, Windsor, NY 13865-1386 | 2018-10-24 |
| 1164611208 | Bobbi Anne Story | Licensed Practical Nurse | 474 Mountain Rd, Windsor, NY 13865-1737 | 2007-10-15 |
| 1407405426 | Sadie Marie Kinner | Community Health Worker | 5 Buell Rd, Windsor, NY 13865-2321 | 2019-09-11 |
| Find all providers in zip 13865 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292043 | Erin Lee Christiansen | Nurse Practitioner | 141 Crabapple Dr, Windsor, CO 80550-5729 | 2020-10-10 |
| 1659989820 | Karen York | Nurse Practitioner | 1999 Bayfront Dr, Windsor, CO 80550-3589 | 2020-07-14 |
| 1700404878 | Nicola Jane Mcnamara | Nurse Practitioner | 1904 Los Cabos Dr, Windsor, CO 80550-3412 | 2020-07-06 |
| 1205457116 | Jennifer Walsh | Nurse Practitioner | 268 Pinebrook Ct, Windsor, CO 80550-3259 | 2020-05-01 |
| 1245715671 | Courtney Medved | Nurse Practitioner | 427 Wind River Dr, Windsor, CO 80550-3183 | 2018-10-02 |
| 1285017459 | Tracy Austin | Nurse Practitioner | 488 Wild Oak Dr, Windsor, CA 95492-8914 | 2015-07-06 |
| 1336582931 | Urocare Partners | Nurse Practitioner | 20 N Meadow Rd, Windsor, CT 06095-2524 | 2013-04-12 |
| 1932453990 | Laura A Marcus | Nurse Practitioner | 166 Windsor River Rd, Windsor, CA 95492-9204 | 2012-10-30 |
| 1235174186 | Tracy A Noell | Nurse Practitioner | 851 Marshall Phelps Road, Healthone Windsor Family Medicine, Windsor, CT 06095 | 2006-06-17 |
| 1558308627 | Julie A Barnes | Nurse Practitioner | 5 College Ave, Windsor Family Care Center, Windsor, NY 13754 | 2006-05-31 |
| Find all providers in WINDSOR | ||||
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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.