MRS. MELISSA RENE WILKERSON (NPI# 1144854456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144854456 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA RENE WILKERSON |
| Credential | APRN FNP-C |
| Practice Address |
1612 Dawkins Rd La Grange KY 40031-8729 |
| Mailing Address |
4104 County Line Rd Nabb IN 47147-9666 |
| Practice Telephone | 5022255302 |
| Mailing Telephone | 5026096637 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3014364 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750792362 | Melissa Lynn Wilkerson | Speech-Language Pathologist | 1532 Cedar Trace Dr, Hernando, MS 38632-6926 | 2014-05-16 |
| 1669788642 | Melissa Gail Wilkerson | Nurse Practitioner | 1425 State St Ste 100, New Albany, IN 47150-4976 | 2010-08-27 |
| Street Address |
1612 DAWKINS RD |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-8729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962356 | Kentucky Correctional Psychiatric Center | Rehabilitation Hospital | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2005-06-17 |
| 1154661775 | Cynthia Cates | Registered Nurse | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2013-02-19 |
| 1548554447 | Lori Wence | Social Worker | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2011-06-08 |
| 1902036601 | Kellie Leanhart | Counselor | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2009-07-16 |
| 1669582094 | Linda H Wathen | Social Worker | 1612 Dawkins Rd, La Grange, KY 40031-8729 | 2006-08-30 |
| 1871515718 | Amy Jacqueline Trivette | Psychiatry & Neurology | 1612 Dawkins Rd, Box 67, La Grange, KY 40031-8729 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880932 | Sarah Martin | Nurse Practitioner | 2 Saint Marks Pl Ste 160, La Grange, TX 78945-1253 | 2018-08-09 |
| 1053850370 | Lauren Nicole Wimsatt | Nurse Practitioner | 1808 Fort Pickens Rd, La Grange, KY 40031-8707 | 2017-02-20 |
| 1467803825 | Susan Sanford | Nurse Practitioner | 3505 Potomac Ct, La Grange, KY 40031-9650 | 2016-06-28 |
| 1376914887 | Megan J Regal | Nurse Practitioner | 1031 New Moody Ln Ste 300, La Grange, KY 40031-9178 | 2015-10-09 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1801149661 | Jacqueline Price Burnette | Nurse Practitioner | 753 E Travis St, La Grange, TX 78945-2353 | 2012-10-18 |
| 1780935684 | Jacqueline E Trcka | Nurse Practitioner | 4727 Willow Springs Rd Ste 3s, La Grange, IL 60525-6153 | 2012-10-02 |
| 1366636904 | Curtiss Surgical Assistants LLC. | Nurse Practitioner | 4707 Heron View Pl, La Grange, KY 40031-6709 | 2007-08-28 |
| 1982730917 | Allison Fields Bowen | Nurse Practitioner | 1023 New Moody Ln Ste 201, La Grange, KY 40031-9181 | 2007-02-26 |
| 1033675038 | Kristen Kinney | Nurse Practitioner | 753 E Travis St, La Grange, TX 78945-2353 | 2019-02-14 |
| Find all providers in LA GRANGE | ||||
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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.