MRS. MICHELE FONTENELLE MCLEOD (NPI# 1346261864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346261864 |
| Entity Type | Individual |
| Full Name | MRS. MICHELE FONTENELLE MCLEOD |
| Credential | N.P. |
| Practice Address |
967 Cedar Lake Rd Ste B Biloxi MS 39532-2128 |
| Mailing Address |
1211 Bexley Church Rd Lucedale MS 39452-4643 |
| Practice Telephone | 2283968531 |
| Practice Fax Number | 2283961835 |
| Mailing Telephone | 6019477334 |
| Mailing Fax Number | 2283961835 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R645982 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05238388 | 05 | |
| MS | DEA | MM1385637 | 01 |
| MS | TRICARE | 640617252002 | 01 |
| MS | STATE LICENSE | R645982 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942255096 | Michele L Mcleod | Ophthalmology | Mount Kisco Medical Group, PC, 90 South Bedford Road, Mount Kisco, NY 10549-3412 | 2006-05-24 |
| Street Address |
967 CEDAR LAKE RD STE B |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924728 | Thomas James Meece | Nurse Practitioner | 1025 Division St Ste C, Biloxi, MS 39530-2910 | 2019-04-04 |
| 1922579994 | Rachel Cathleen Deo Campo | Nurse Practitioner | 147 Reynoir St Ste 101, Biloxi, MS 39530-4119 | 2018-12-16 |
| 1669949350 | Kayla Anne Morano | Nurse Practitioner | 1720a Medical Park Dr Ste 340, Biloxi, MS 39532-2127 | 2018-10-31 |
| 1982180386 | Daniel Richard Damitio | Nurse Practitioner | 2781 C T Switzer Sr Dr Ste 400, Biloxi, MS 39531-4535 | 2018-07-18 |
| 1811486202 | Melissa Victoria Moore | Nurse Practitioner | 1025 Division St Ste B, Biloxi, MS 39530-2910 | 2018-05-02 |
| 1033574520 | Angela Yawn | Nurse Practitioner | 14213 Cook Rd Bldg A, Biloxi, MS 39532-9719 | 2015-12-28 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1629466131 | Mary Patricia Putnam | Nurse Practitioner | 2781 C T Switzer Drive, Suite 402, Biloxi, MS 39531-8001 | 2015-01-06 |
| 1225426927 | Kristina Dunn | Nurse Practitioner | 14209 Cook Rd, Suite 200, Memorial Physician Clinics -neuro and Spine, Biloxi, MS 35932 | 2015-01-03 |
| 1376965178 | Kristian Nicole Spear | Nurse Practitioner | 12507 Raintree Pl, Biloxi, MS 39532-8053 | 2014-01-13 |
| Find all providers in BILOXI | ||||
Please comment or provide details below to improve the information on MRS. MICHELE FONTENELLE MCLEOD.
| 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.