MELISSA ANNE DOUTHIT


Address: 3665 Park Pl W Ste 300, Mishawaka, IN 46545
Phone: 8774483627

MELISSA ANNE DOUTHIT (NPI# 1457730038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457730038
Entity Type Individual
Full Name MELISSA ANNE DOUTHIT
Credential NP-C
Practice Address 3665 Park Pl W Ste 300
Mishawaka
IN 46545
Mailing Address 901 Mcclintock Dr Ste 202
Burr Ridge
IL 60527-0872
Practice Telephone 8774483627
Mailing Telephone 8774483627
Enumeration Date 2015-05-28
Last Update Date 2019-07-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN218345 GA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1912 Memorial Dr Ste E, Waycross, GA 315010989 9122837100 9122837109

Office Location

Street Address 3665 PARK PL W STE 300
City MISHAWAKA
State IN
Zip Code 46545

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649824103 Senior Helpers In Home Supportive Care 230 Catalpa Drive Suite B, Mishawaka, IN 46545 2019-08-01
1093272114 Candice Marie Greathouse Physical Therapy Assistant 3630 Hickory Road, Mishawaka, IN 46545 2019-02-25
1639662596 Mishawaka Rcf Lp Assisted Living Facility 3630 Hickory Rd, Mishawaka, IN 46545 2018-06-14
1760907299 Timothy John Howard Emergency Medicine 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 2017-08-05
1699203612 Paridhie Vasudevan Dentist 6502 Grape Rd Ste 882, Mishawaka, IN 46545 2017-06-03
1780134650 Ossip Optometry, PC Optometrist 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 2016-10-04
1558759654 Spine and Joint Associates of Plymouth, Inc Chiropractor 229 Red Coach, Suite 106, Mishawaka, IN 46545 2014-12-26
1609264795 Spine and Joint Associates of Mishawaka, Inc Chiropractor 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 2014-12-26
1508260795 Maribel Smith Counselor 2989 Heritage Ct, Mishawaka, IN 46545 2014-10-16
1497095343 April Lynn Root Dietitian, Registered St. Joseph County Va Clinic, 1540 Trinity Place, Mishawaka, IN 46545 2013-02-28
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467092908 Tori Driver Nurse Practitioner 3005 Grape Rd Ste B, Mishawaka, IN 46545-2709 2020-01-13
1093272593 Regina Lynn Yoder Nurse Practitioner 303 S Main St Ste 111, Mishawaka, IN 46544-2159 2019-02-21
1376021725 Kaley Michelle Marino Nurse Practitioner 1113 Mossy Ln, Mishawaka, IN 46544-9055 2018-07-29
1386192870 Melinda C Nwanganga Nurse Practitioner 4501 Lincolnway E, Mishawaka, IN 46544-4035 2016-09-14
1760835912 Ophelia Ansari Nurse Practitioner 4501 Linconway East, Mishawaka, IN 46544 2016-07-22
1578692794 Lynn Davis Figg Nurse Practitioner 611 East Douglas Road, Suite 405, Mishawaka, IN 46545-1468 2007-03-05
1376557702 Patricia L Jackson Nurse Practitioner 230 W Catalpa Dr, Suite D, Mishawaka, IN 46545-8321 2006-07-28
1467406074 Saint Joseph Regional Medical Center, Inc. Nurse Practitioner 60101 Bodnar Blvd Ste 100b, Mishawaka, IN 46544-9340 2006-05-19
1518955327 Tori Dawn Clabaugh Nurse Practitioner 316 Indian Ridge Blvd, Mishawaka, IN 46545-9034 2005-10-06
1134129919 Jena M Corban Nurse Practitioner 270 E Day Rd, Suite 280, Mishawaka, IN 46545-3444 2005-07-22
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Competitor

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City MISHAWAKA
Zip Code 46545

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Dataset Information

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.

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