MELISSA T PETERSEN (NPI# 1215106042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215106042 |
| Entity Type | Individual |
| Full Name | MELISSA T PETERSEN |
| Credential | RNC, MS, WHNP |
| Practice Address |
315 Winn Way Decatur GA 30030-2111 |
| Practice Telephone | 4042999724 |
| Practice Fax Number | 4042990382 |
| Mailing Telephone | 4042999724 |
| Mailing Fax Number | 4042990382 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2009-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN117123 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144860917 | Melissa Edwards Petersen | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-01-09 |
| 1245783893 | Melissa J Petersen | Marriage & Family Therapist | 543 Plumas St, Reno, NV 89509 | 2016-08-01 |
| 1235513128 | Melissa Petersen | Physician Assistant | 4300 Alton Rd Ste 2110, Miami Beach, FL 33140-2948 | 2015-07-10 |
| 1306195045 | Melissa Anne Petersen | Speech-Language Pathologist | 20420 68th Ave W, Lynnwood, WA 98036-7405 | 2012-09-07 |
| 1952542870 | Melissa Petersen | Dentist | 2950 Eureka Way, Redding, CA 96001-0200 | 2009-03-24 |
| 1255537585 | Melissa Ann Petersen | Massage Therapist | 3217 Meridian Ave E, Edgewood, WA 98371 | 2007-06-24 |
| Street Address |
315 WINN WAY |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932153491 | Kay S Entrekin | Obstetrics & Gynecology | 315 Winn Way, Decatur, GA 30030-2111 | 2006-05-20 |
| 1376012047 | Brooke Mickle Schembri | Dietitian, Registered | 315 Winn Way, Decatur, GA 30030-2111 | 2018-11-25 |
| 1679064729 | Catherine Assink | Advanced Practice Midwife | 315 Winn Way, Decatur, GA 30030-2111 | 2018-05-24 |
| 1326594276 | Sabrina Fernandez | Advanced Practice Midwife | 315 Winn Way, Decatur, GA 30030-2111 | 2016-08-31 |
| 1447658331 | Valerie Tchinang | Advanced Practice Midwife | 315 Winn Way, Decatur, GA 30030-2111 | 2014-12-09 |
| 1982047817 | Erin Meade Duncan | Obstetrics & Gynecology | 315 Winn Way, Decatur, GA 30030-2111 | 2013-04-10 |
| 1437445426 | Kristin Danielle Oates | Obstetrics & Gynecology | 315 Winn Way, Decatur, GA 30030-2111 | 2011-06-28 |
| 1447541495 | Julia Brainin Smookler | Advanced Practice Midwife | 315 Winn Way, Decatur, GA 30030-2111 | 2011-04-26 |
| 1194059691 | Sarah Louise Davis | Nurse Practitioner | 315 Winn Way, Decatur, GA 30030-2111 | 2009-09-30 |
| 1194962100 | Atlanta Gynecology & Obstetrics P.C. | Obstetrics & Gynecology | 315 Winn Way, Decatur, GA 30030-2111 | 2009-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497368328 | Jennifer Cobb | Nurse Practitioner | 130 Champlain St, Decatur, GA 30030-1803 | 2020-08-29 |
| 1992235469 | Nijah Alish Chapman | Nurse Practitioner | 2665 N Decatur Rd Ste 255, Decatur, GA 30033-6176 | 2017-06-15 |
| 1598041741 | Netcare Medical Clinic Decatur, Inc | Nurse Practitioner | 4284 Memorial Dr Ste C, Suite C, Decatur, GA 30032-1220 | 2011-11-01 |
| 1952603201 | Surayyah W. Fareed | Nurse Practitioner | 2855 Candler Rd Ste 14, Decatur, GA 30034-1415 | 2010-11-18 |
| 1801103387 | State of Alabama Department of Public Health | Nurse Practitioner | 510 Cherry St. Ne, Decatur, AL 35602-1628 | 2010-09-07 |
| 1467462085 | Connie H Requarth | Nurse Practitioner | 2905 North Main Street, Decatur, IL 62526-4274 | 2006-08-08 |
| 1871502005 | Evelyn R Morales | Nurse Practitioner | 2675 N Decatur Rd Ste 301, Suite 301, Decatur, GA 30033-6132 | 2006-08-05 |
| 1497354054 | Hannah Elizabeth Bergbower | Nurse Practitioner | 2675 N Decatur Rd Ste 607, Decatur, GA 30033-6134 | 2020-10-23 |
| 1912325267 | Diane Rainford | Nurse Practitioner | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2014-04-03 |
| 1902220429 | Andi Christine Petito | Nurse Practitioner | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2014-02-05 |
| Find all providers in DECATUR | ||||
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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.