ALICIA LYNN MELLO (NPI# 1346624269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346624269 |
| Entity Type | Individual |
| Full Name | ALICIA LYNN MELLO |
| Credential | PA |
| Practice Address |
15 Gracelawn Rd Ste 101 Auburn ME 04210-6347 |
| Mailing Address |
Po Box 7291 Lewiston ME 04243-7291 |
| Practice Telephone | 2073334710 |
| Practice Fax Number | 2073334715 |
| Mailing Telephone | 2077778950 |
| Mailing Fax Number | 2077778800 |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1546 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 91 Campus Ave, Lewiston, ME 042406030 | 2077778120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689129355 | Alicia Mello | Student in an Organized Health Care Education/Training Program | 66 Troy St Ste 4, Fall River, MA 02720-3023 | 2016-08-23 |
| Street Address |
15 GRACELAWN RD STE 101 |
| City | AUBURN |
| State | ME |
| Zip Code | 04210-6347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568550341 | Laura M. Glaser | Physician Assistant | 15 Gracelawn Rd Ste 101, Auburn, ME 04210 | 2006-10-10 |
| 1154735843 | Nicole Merrill | Nurse Practitioner | 15 Gracelawn Rd Ste 101, Auburn, ME 04210 | 2014-06-20 |
| 1144394099 | Jeffrey Neil Davila | Orthopaedic Surgery | 15 Gracelawn Rd Ste 101, Auburn, ME 04210-6347 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538632245 | Matthew Charles Dove | Specialist/Technologist | 30 Belgrade Ave, Suite A, Auburn, ME 04210 | 2019-01-04 |
| 1851880603 | Dba Central Maine Conditioning Clinic | Massage Therapist | 30 Belgrade Ave Suite A, Auburn, ME 04210 | 2018-05-08 |
| 1285189654 | Kimberly Ann Boutwell | Nurse Practitioner | 15 Gracelawn Road, Auburn, ME 04210 | 2016-08-16 |
| 1487036554 | Eric Morrow | Specialist/Technologist | 36 Belgrade Ave, Auburn, ME 04210 | 2015-06-24 |
| 1750770152 | Larissa J Brown | Marriage & Family Therapist | 86 Main Sreet, Suite 302, Auburn, ME 04210 | 2015-01-22 |
| 1659771046 | Daniel Fontaine | Pharmacist | 689 Minot Ave., Auburn, ME 04210 | 2014-09-04 |
| 1104236793 | Caitlin White | Occupational Therapist | 415 Rodman Road, Auburn, ME 04210 | 2014-05-05 |
| 1780954883 | Richard Marc Pelletier | Counselor | 24 Dunn Street, Auburn, ME 04210 | 2012-01-05 |
| 1285929026 | Cynthia Morgan | Social Worker | 60 Court St., Auburn, ME 04210 | 2011-06-09 |
| 1972811164 | Wendy Thomas-blais | Social Worker | 229 Center St 2, Auburn, ME 04210 | 2010-09-22 |
| Find all providers in zip 04210 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892110 | Cody Charles Smith | Physician Assistant | 11795 Education St Ste 220, Auburn, CA 95602-2469 | 2020-02-11 |
| 1497191993 | Jason Alan Berryhill | Physician Assistant | 13555 Bowman Rd, Suite 100, Auburn, CA 95603-3156 | 2013-05-12 |
| 1881889731 | Ryan P Dirks | Physician Assistant | 1314 8th St Ne Ste 101, Auburn, WA 98002-4587 | 2007-09-12 |
| 1932300142 | Ian Fm Buchan | Physician Assistant | Central Maine Partners In Health, 30 Belgrade Avenue, Auburn, ME 04210 | 2007-05-29 |
| 1306986294 | Blythe E Fawcett | Physician Assistant | 37 W Garden St Ste 105, Auburn, NY 13021 | 2007-02-08 |
| 1144379884 | Gerald Ortego | Physician Assistant | 192 W Genesee St, Lake Region Urology, Auburn, NY 13021-3361 | 2007-01-10 |
| 1659478360 | Melanie M Lehman | Physician Assistant | 3254 Professional Dr, Auburn, CA 95602 | 2006-09-17 |
| 1073527354 | Cynthia L Rubbert | Physician Assistant | 1000 Auburn Way S, Auburn, WA 98002-6132 | 2006-07-29 |
| 1811980790 | E Darren Racht | Physician Assistant | 207 Southbridge St, Auburn, MA 01501-2548 | 2005-08-25 |
| 1548264476 | Meridith Christine Yochim | Physician Assistant | 901 Eckhart Ave, Auburn, IN 46706-1325 | 2005-06-09 |
| Find all providers in AUBURN | ||||
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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.