STACY L MELVILLE (NPI# 1376831180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376831180 |
| Entity Type | Individual |
| Full Name | STACY L MELVILLE |
| Credential | NP-C |
| Practice Address |
10107 Ridgegate Pkwy Ste 200 Lone Tree CO 80124-5641 |
| Practice Telephone | 3039250700 |
| Practice Fax Number | 3033292599 |
| Mailing Telephone | 3039250700 |
| Mailing Fax Number | 3033292599 |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | C-APN.0001408-C- | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 283727001 | 05 |
| Street Address |
10107 RIDGEGATE PKWY STE 200 |
| City | LONE TREE |
| State | CO |
| Zip Code | 80124-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518048412 | Jessica L Anderson | Nurse Practitioner | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5641 | 2006-10-18 |
| 1841832102 | Courtney Welch | Nurse Practitioner | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5641 | 2019-10-08 |
| 1396236295 | Crystal Fields-burdick | Social Worker | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124 | 2018-05-25 |
| 1447677489 | Patrick J. Eulitt | Internal Medicine | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5641 | 2014-03-27 |
| 1235416694 | Laura Ann Traylor | Nurse Practitioner | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5641 | 2011-11-12 |
| 1134446461 | Mabel A Mardones | Internal Medicine | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124 | 2010-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700413788 | Adam Avant | Student in an Organized Health Care Education/Training Program | Sky Ridge Medical Center 10099 Ridgegate Pkwy, Ste 200, Lonetree, CO 80124 | 2020-03-27 |
| 1265069546 | Nikhilesh Srinivasan | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway, #200, Lone Tree, CO 80124 | 2020-03-25 |
| 1487281200 | Caden Nowak | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway #200, Lone Tree, CO 80124 | 2020-03-23 |
| 1427618305 | University of Colorado Hospital Authority | Clinic/Center | 9548 Park Meadows Dr, Lone Tree, CO 80124 | 2019-06-13 |
| 1225505746 | Justin Sean Ashurst | Registered Nurse | 10240 Meadows Dr, Lone Tree, CO 80124 | 2018-11-02 |
| 1396257143 | University Physicians, Incorporated | Family Medicine | 9548 Park Meadows Drive, Lone Tree, CO 80124 | 2017-11-02 |
| 1861928236 | Jennifer Kouri | Student in an Organized Health Care Education/Training Program | 10099 Ridgegate Parkway Ste 120, Rvu/sky Ridge Tri Residency, Lone Tree, CO 80124 | 2017-05-04 |
| 1013443787 | Graham Litchman | Surgery | 1099 Ridgegate Parkway, Graduate Medical Education Office Suite 120, Lone Tree, CO 80124 | 2017-05-02 |
| 1609324466 | Amy Lim | Registered Nurse | 10101 Ridge Gate Pkwy, Lone Tree, CO 80124 | 2016-09-21 |
| 1770933251 | Richard Kenyon French Jr. | Optometrist | 8455 Park Meadows Center Blvd, Lenscrafters At Macy's, Littleton, CO 80124 | 2016-06-15 |
| Find all providers in zip 80124 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336351907 | Christina J Hanson | Nurse Practitioner | 10103 Ridge Gate Parkway, Ste 312, Lone Tree, CO 80124-2780 | 2007-05-04 |
| 1518048412 | Jessica L Anderson | Nurse Practitioner | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5641 | 2006-10-18 |
| 1235157850 | Carolyn Alice Mellette | Nurse Practitioner | 9997 S Yosemite St, Suite 110, Lone Tree, CO 80124 | 2006-07-18 |
| 1841832102 | Courtney Welch | Nurse Practitioner | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5641 | 2019-10-08 |
| 1023555067 | Jennifer Zells | Nurse Practitioner | 9695 S Yosemite St, Suite 324, Lone Tree, CO 80124-2888 | 2017-01-29 |
| 1699126243 | Jamie Lee Cullum | Nurse Practitioner | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2016-06-24 |
| 1083031918 | Courtney Holley | Nurse Practitioner | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2014-03-28 |
| 1235416694 | Laura Ann Traylor | Nurse Practitioner | 10107 Ridgegate Pkwy Ste 200, Lone Tree, CO 80124-5641 | 2011-11-12 |
| 1750531877 | Krista Estes | Nurse Practitioner | 10240 Park Meadows Dr, Lone Tree, CO 80124-5425 | 2008-09-25 |
| 1992961189 | Catherine M Mennick | Nurse Practitioner | 10103 Ridge Gate Pkwy, Suite G21, Lone Tree, CO 80124-5524 | 2008-08-06 |
| Find all providers in LONE TREE | ||||
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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.