MELINDA L LUCKAY (NPI# 1295919454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295919454 |
| Entity Type | Individual |
| Full Name | MELINDA L LUCKAY |
| Other Name | MELINDA L EASLEY |
| Credential | CRNP |
| Practice Address |
4515 Brambleton Ave Suite B Roanoke VA 24018-3436 |
| Practice Telephone | 5407776807 |
| Practice Fax Number | 5407776809 |
| Mailing Telephone | 5407776807 |
| Mailing Fax Number | 5407776809 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2016-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024168899 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4515 BRAMBLETON AVE SUITE B |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770572331 | Kenneth R Luckay | Family Medicine | 4515 Brambleton Ave, Suite B, Roanoke, VA 24018-3436 | 2005-10-17 |
| 1497181101 | Betty C Etzler | Social Worker | 4515 Brambleton Ave, Ste B, Roanoke, VA 24018-3436 | 2013-09-26 |
| 1821310418 | Paula Marie Bell | Occupational Therapist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2010-02-23 |
| 1023330123 | Shelly Basham | Speech-Language Pathologist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2010-02-17 |
| 1457689465 | Sherri Lyn Sanders | Physical Therapist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2009-12-02 |
| 1881929438 | Christine L Buyer | Speech-Language Pathologist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2009-10-14 |
| 1700119096 | Amy Baber Boykin | Occupational Therapist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2009-09-17 |
| 1619200268 | Sandra L Parson | Speech-Language Pathologist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2009-09-15 |
| 1770731903 | Lindsay Anne Burgess | Speech-Language Pathologist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2008-08-29 |
| 1801068408 | Janice M Devoll | Speech-Language Pathologist | 4515 Brambleton Ave, Roanoke, VA 24018-3436 | 2008-03-24 |
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|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659815736 | Michie Armell Bolden | Nurse Practitioner | 3025 Peters Creek Rd Nw Ste B, Roanoke, VA 24019-2760 | 2016-12-08 |
| 1992181085 | Natasha Ballentine Obrist | Nurse Practitioner | 2713 Cumberland St Nw, Roanoke, VA 24012-7611 | 2015-07-30 |
| 1407478936 | William Andrew White | Nurse Practitioner | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-05-06 |
| 1740825678 | David Wilson | Nurse Practitioner | 2017 Jefferson St Sw Fl 2, Roanoke, VA 24014-2419 | 2019-11-14 |
| 1881259158 | Ryan Edward Topel | Nurse Practitioner | 2017 Jefferson St Sw, Roanoke, VA 24014-2419 | 2019-05-02 |
| 1376011650 | Star Behavioral Health, Pllc | Nurse Practitioner | 4800 Pleasant Hill Dr Ste 102, Roanoke, VA 24018-3406 | 2018-11-05 |
| 1659627750 | Virginia Tucker Hart | Nurse Practitioner | 2017 Jefferson St Sw, Roanoke, VA 24014-2419 | 2012-07-26 |
| 1124395991 | Tamara Leigh Baldwin | Nurse Practitioner | 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 | 2011-11-22 |
| 1497041834 | Regional Health Management Corporation | Nurse Practitioner | 469 Price St, Roanoke, AL 36274-2104 | 2011-06-23 |
| 1134450067 | Marikje Oosting Shreeve | Nurse Practitioner | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 | 2010-01-15 |
| Find all providers in ROANOKE | ||||
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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.