MELISSA ANN ETCHISON (NPI# 1144579848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144579848 |
| Entity Type | Individual |
| Full Name | MELISSA ANN ETCHISON |
| Credential | N.P, |
| Practice Address |
806 Jackson St Columbus IN 47201 |
| Mailing Address |
806 Jackson St Columbus IN 47201-6264 |
| Practice Telephone | 8127483412 |
| Practice Fax Number | 8127483413 |
| Mailing Telephone | 8127483412 |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2018-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71004130A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE PTAN | P01212103 | 01 |
| IN | ANTHEM | 000001079109 | 01 |
| IN | 201092460 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518425727 | Melissa Marie Etchison | Nurse Practitioner | 7007 Graham Rd Ste 215, Indianapolis, IN 46220-4063 | 2019-03-06 |
| Street Address |
806 JACKSON ST |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508858960 | Denise C Fields | Pharmacist | 806 Jackson St, Columbus, IN 47201 | 2005-08-22 |
| 1265906291 | Dani Sue Becker | Nurse Practitioner | 806 Jackson St, Columbus, IN 47201-6264 | 2019-01-12 |
| 1558716878 | Tyler Sura | Preventive Medicine | 806 Jackson St, Columbus, IN 47201-6264 | 2016-04-25 |
| 1235509167 | Healthworks Med Group of Indiana PC | Clinic/Center | 806 Jackson St, Columbus, IN 47201-6264 | 2015-10-05 |
| 1447643804 | Crossover Health Medical Group | General Practice | 806 Jackson St, Columbus, IN 47201-6264 | 2015-03-10 |
| 1174935118 | Robert Aaron Chestnut | Family Medicine | 806 Jackson St, Columbus, IN 47201 | 2014-05-27 |
| 1275976573 | Mary Anne C. Snyder | Family Medicine | 806 Jackson St, Columbus, IN 47201-6264 | 2013-04-17 |
| 1447509633 | Leticia Lynn Vance | Nurse Practitioner | 806 Jackson St, Columbus, IN 47201 | 2012-09-03 |
| 1467648907 | Healthworks Med Group of Indiana P C | Clinic/Center | 806 Jackson St, Columbus, IN 47201-6264 | 2007-09-19 |
| 1245361872 | Quinco Consulting Center Inc | Clinic/Center | 806 Jackson St, Columbus, IN 47201-6264 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566900 | Melissa Nameth | Nurse Practitioner | 3003 Cortona Rd, Columbus, OH 43204-4898 | 2020-10-18 |
| 1962019901 | Joshua Peltier | Nurse Practitioner | 2657 Summit St, Columbus, OH 43202-2434 | 2020-09-24 |
| 1891302949 | Lindsay Baughman | Nurse Practitioner | 5866 Regency Dr, Columbus, IN 47203-4551 | 2020-09-23 |
| 1114530706 | Renee Dawn Holloway-vaughan | Nurse Practitioner | 1317 Antietam Dr, Columbus, GA 31907-6887 | 2020-08-25 |
| 1063024354 | Nathaniel Z Raidel | Nurse Practitioner | 5699 Sandalwood Blvd, Columbus, OH 43229-3420 | 2020-08-19 |
| 1174134332 | Hailey Lyn Holman | Nurse Practitioner | 5141 W Broad St Ste 130, Columbus, OH 43228-1984 | 2020-08-12 |
| 1508475989 | Kara Shroff | Nurse Practitioner | 1127 Dublin Rd, Columbus, OH 43215-1005 | 2020-07-30 |
| 1265050553 | Mary Hoobler | Nurse Practitioner | 5059 N High St, Columbus, OH 43214-1589 | 2020-07-13 |
| 1417575200 | Candice Kilbarger | Nurse Practitioner | 2329 Keep Pl, Columbus, OH 43204-4989 | 2020-07-08 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| Find all providers in COLUMBUS | ||||
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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.