BRITTANY LYNNE MELVILLE (NPI# 1306230164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306230164 |
Entity Type | Individual |
Full Name | BRITTANY LYNNE MELVILLE |
Credential | APRN |
Practice Address |
4296 5th Ave Marianna FL 32446-2173 |
Practice Telephone | 8504822061 |
Practice Fax Number | 8506335911 |
Mailing Telephone | 8504822061 |
Mailing Fax Number | 8506335911 |
Enumeration Date | 2015-03-19 |
Last Update Date | 2020-04-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN-1892 | HI | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 100751400 | 05 | |
FL | BLUE CROSS BLUE SHIELD | 2D241 | 01 |
Street Address |
4296 5TH AVE |
City | MARIANNA |
State | FL |
Zip Code | 32446-2173 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568469062 | Jirayos Chintanadilok | Internal Medicine | 4296 5th Ave, Marianna, FL 32446-2173 | 2005-06-30 |
1508379751 | Kristin G Fenton | Nurse Practitioner | 4296 5th Ave, Marianna, FL 32446-2173 | 2017-11-09 |
1417296914 | Mary E Maldonado | Nurse Practitioner | 4296 5th Ave, Marianna, FL 32446-2173 | 2013-02-05 |
1134443484 | Holly Jo Sims | Nurse Practitioner | 4296 5th Ave, Marianna, FL 32446-2173 | 2010-03-16 |
1265691331 | Robert Michael Hall | Nurse Practitioner | 4296 5th Ave, Marianna, FL 32446-2173 | 2008-06-04 |
1033174594 | Everest Medical Care P A | Internal Medicine | 4296 5th Ave, Marianna, FL 32446-2173 | 2006-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962054817 | Covenant Home Health Care, LLC | Home Health | 4540 Lafayette Street, Ste. G, Marianna, FL 32446 | 2019-07-11 |
1063902930 | Syntha Alvarez | Assistant Behavior Analyst | 3217 Highway 71, Marianna, FL 32446 | 2018-05-15 |
1922528926 | Charlotte Allen | Respite Care | 4326 Deering Street, Marianna, FL 32446 | 2017-06-21 |
1003352097 | Jonathan Lee | Physical Therapist | 4387 Kelson Ave Apt A, Marianna, FL 32446 | 2017-01-13 |
1386003192 | Harold B Parker | Nurse Practitioner | Sunland Center 3700 Williams Drive, Marianna, FL 32446 | 2016-02-22 |
1912372756 | John Tyler Ellerbee | Nurse Practitioner | 4215 E Kelson Ave, Marianna, FL 32446 | 2015-12-04 |
1902206790 | Jason Williams | Spec/Tech, Cardiovascular | 3625 Fci Road, Marianna, FL 32446 | 2014-08-28 |
1336558238 | Rocky Mountain Holdings, LLC | Ambulance | 3689 Industrial Park Dr, Marianna, FL 32446 | 2014-08-05 |
1831430826 | Jantzen Wayne Whitehead | Counselor | 2860 Highway 71 N, Suite A, Marianna, FL 32446 | 2013-03-15 |
1336498047 | Sharon Lynn Miller | Counselor | 2933 Madison Street, Marianna, FL 32446 | 2012-09-10 |
Find all providers in zip 32446 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
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1124629902 | Tara-kaye Clunis | Nurse Practitioner | 832 Nw 130th Ave, Pembroke Pines, FL 33028-3135 | 2020-11-06 |
1184225112 | Dante Strong | Nurse Practitioner | 208 Afton Sq Unit 301, Altamonte Springs, FL 32714-3841 | 2020-11-05 |
1730780354 | Mary Catherine Grissom | Nurse Practitioner | 2093 Appalachee Cir, Tavares, FL 32778-2001 | 2020-11-02 |
1942800974 | Justo J Ruiz | Nurse Practitioner | 11740 Sw 26th Ter, Miami, FL 33175-2451 | 2020-10-28 |
1891395208 | Jordyn Lee Platt | Nurse Practitioner | 1820 Coyote Pl, Brandon, FL 33511-1741 | 2020-10-27 |
1669071668 | Karine Erica Cameron | Nurse Practitioner | 12028 Sw 12th St, Pembroke Pines, FL 33025-3740 | 2020-10-21 |
1306443916 | Simmy Regin Varghese | Nurse Practitioner | 1613 Hammock Grove Ln, Jacksonville, FL 32225-5575 | 2020-10-06 |
1891302469 | Shannon Bre Anna Watkins | Nurse Practitioner | 2937 Quantum Lakes Dr, Boynton Beach, FL 33426-8303 | 2020-09-28 |
1114534856 | Cristina Sandu | Nurse Practitioner | 19327 Elston Way, Estero, FL 33928-6489 | 2020-09-27 |
1215543590 | Kam Lieng Lady | Nurse Practitioner | 12031 Nw 2nd Dr, Coral Springs, FL 33071-8012 | 2020-09-22 |
Find all providers with the same taxonomy |
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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.