MRS. MELISSA A ANDERSON (NPI# 1235444225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235444225 |
Entity Type | Individual |
Full Name | MRS. MELISSA A ANDERSON |
Credential | NP |
Practice Address |
704 S Webster Ave Suite 300 Green Bay WI 54301-3528 |
Practice Telephone | 9204683444 |
Practice Fax Number | 9204326313 |
Mailing Telephone | 9204683444 |
Mailing Fax Number | 9204326313 |
Enumeration Date | 2010-08-13 |
Last Update Date | 2014-01-30 |
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 |
ANDI-0433-1706 | WI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598365363 | Melissa Anderson | Pharmacist | 1904 Carl Albert Blvd, Ada, OK 74820-3493 | 2020-10-29 |
1750907531 | Melissa Anderson | Social Worker | 4975 Lacross Rd Ste 351, North Charleston, SC 29406-6530 | 2020-06-17 |
1134740624 | Melissa Anderson | Registered Nurse | 628 Tailgate Ter, Hyattsville, MD 20785-4813 | 2020-05-06 |
1821628363 | Melissa R Anderson | Registered Nurse | 605 Cedar Bluffs Way Apt 7, Slinger, WI 53086-9097 | 2020-01-23 |
1205312360 | Melissa Anderson | Counselor | 145 W Schrock Road, Westerville, OH 43081 | 2018-07-12 |
1982196440 | Melissa Anderson | Dietitian, Registered | 2460 E Germann Rd Ste 18, Chandler, AZ 85286-1573 | 2018-05-31 |
1992221063 | Melissa Marlyn Anderson | Occupational Therapist | 47 Depaul St, Emmitsburg, MD 21727-9160 | 2017-08-20 |
1184084816 | Melissa Anderson | Nurse Practitioner | 5271 Forest Brook Pkwy, Marietta, GA 30068-2835 | 2016-02-23 |
1396115812 | Melissa M Anderson | Nurse Practitioner | 103 Willow St Ste A, Nashville, IN 47448-7605 | 2015-09-26 |
1609266576 | Melissa Leigh Anderson | Counselor | 1521 Goldfinch Ct, Norman, OK 73071-6183 | 2015-01-30 |
Street Address |
704 S WEBSTER AVE SUITE 300 |
City | GREEN BAY |
State | WI |
Zip Code | 54301-3528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932102787 | Pamela C Baeten | Internal Medicine | 704 S Webster Ave, Ste 500, Green Bay, WI 54301-3528 | 2005-05-24 |
1164959680 | Cynthia L Suplinski | Nurse Practitioner | 704 S Webster Ave, Green Bay, WI 54301-3528 | 2017-05-15 |
1073063681 | Bellin Memorial Hospital Inc | Internal Medicine | 704 S Webster Ave, Suite 501, Green Bay, WI 54301-3528 | 2016-10-06 |
1265986731 | Susan Molenaar | Nurse Practitioner | 704 S Webster Ave, Green Bay, WI 54301-3528 | 2016-08-12 |
1225403157 | Bonnie L Dejardin | Nurse Practitioner | 704 S Webster Ave, Green Bay, WI 54301-3528 | 2015-12-03 |
1437531720 | Bellin Memorial Hospital Inc | Obstetrics & Gynecology | 704 S Webster Ave, Suite 100 A, Green Bay, WI 54301-3533 | 2015-06-23 |
1841672516 | Bellin Memorial Hospital Inc | Obstetrics & Gynecology | 704 S Webster Ave, Suite 100 B, Green Bay, WI 54301-3533 | 2015-06-18 |
1407295389 | Michael Chistopher Popelars | Dentist | 704 S Webster Ave, Suite 402, Green Bay, WI 54301-3528 | 2013-06-24 |
1013350958 | New Dermatology Group Ltd | Dermatology | 704 S Webster Ave, Green Bay, WI 54301-3528 | 2013-04-10 |
1609189638 | Jo Ann Watson | Family Medicine | 704 S Webster Ave, Suite 200, Green Bay, WI 54301-3528 | 2010-07-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
Find all providers in zip 54301 |
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 |
---|---|---|---|---|
1255426789 | Judy Yakich Wentland | Nurse Practitioner | 1039 West Mason Street, Executive Office Suites, Green Bay, WI 54303 | 2006-10-03 |
1952409732 | Ann T Derge | Nurse Practitioner | 1537 Park Pl, Ste 200, Green Bay, WI 54304-1974 | 2006-09-20 |
1225587512 | Sandra Renee Pelnar | Nurse Practitioner | 720 S Vanburen St, Suite 101, Green Bay, WI 54301 | 2016-09-27 |
1922291749 | Medication Innovations L.L.C. | Nurse Practitioner | 1039 W Mason St, Green Bay, WI 54303-1842 | 2007-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477103570 | Denyse F Jackson | Nurse Practitioner | 65 S Elm St, Platteville, WI 53818-3107 | 2019-09-19 |
1043668528 | Linda Helen Watson | Nurse Practitioner | 1828 E Main St, Suite 10, Onalaska, WI 54650-8780 | 2016-05-25 |
1033447594 | Wise Woman Wellness LLC | Nurse Practitioner | 1480 Swan Rd, De Pere, WI 54115-7966 | 2009-11-20 |
1457585721 | Laura Elizabeth Kwitek | Nurse Practitioner | 5543 E. Cheryl Parkway, Fitchburg, WI 53711 | 2009-05-14 |
1326210626 | Diane Marie Rundle | Nurse Practitioner | 96 Stoddart St, Beaver Dam, WI 53916-1306 | 2008-03-26 |
1730381401 | Margaret Mary Robertson | Nurse Practitioner | 3706 Orin Road, Madison, WI 53704 | 2007-06-04 |
1194939918 | Deirdre Vyvyan Fowler | Nurse Practitioner | 1710 S 7th St, Milwaukee, WI 53204-3538 | 2007-05-10 |
1194848903 | Britt Lapreil Wanta | Nurse Practitioner | 416 W Mifflin St, Madison, WI 53703-2502 | 2007-04-08 |
1538202262 | Pamela Charlene Prince | Nurse Practitioner | 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 | 2007-02-14 |
1568508695 | Donna Lee Hays | Nurse Practitioner | 1015 Burbank Ave, Janesville, WI 53546-6154 | 2007-01-29 |
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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.