MELISSA J. DYE (NPI# 1467575092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467575092 |
| Entity Type | Individual |
| Full Name | MELISSA J. DYE |
| Practice Address |
2805 N Knoxville Ave Peoria IL 61604-2869 |
| Practice Telephone | 3096249400 |
| Practice Fax Number | 3096242280 |
| Mailing Telephone | 3096249400 |
| Mailing Fax Number | 3096242280 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2010-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 209-006545 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
209-006545 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE GROUP # | 809840 | 01 |
| IL | RR GROUP # | CA4079 | 01 |
| IL | RR INDIVIDUAL # | P00397410 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962890491 | Melissa Dye | Counselor | 14138 Hwy 195, Killeen, TX 76542-4850 | 2015-01-06 |
| 1881092211 | Melissa Dye | Social Worker | 434 Mitchell Valley Dr, Marion, VA 24354-6338 | 2014-12-17 |
| Street Address |
2805 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61604-2869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639168222 | Gloria Isabel Diaz | Internal Medicine | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2005-10-17 |
| 1982985339 | Scott A Gonia | Clinical Nurse Specialist | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2011-08-30 |
| 1306020334 | Erica M Deford | Physician Assistant | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2007-12-27 |
| 1912097205 | Michael F. Shekleton | Internal Medicine | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2006-10-15 |
| 1447351077 | Fritz-henry Volmar | Internal Medicine | 2805 N Knoxville Ave, Suite 209, Peoria, IL 61604-2869 | 2006-09-26 |
| 1790727410 | Susan M Mettille | Physician Assistant | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2006-06-11 |
| 1881635605 | Michael D Cashman | Internal Medicine | 2805 N Knoxville Ave, Peoria, IL 61604-2869 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205357928 | Nydia I Rodriguez | Nurse's Aide | 3305 N Finnell Ave, Peoria, IL 61604 | 2017-07-03 |
| 1720327976 | Brin Diagnostics Inc. | Clinical Medical Laboratory | 3216 W Kenwood, West Peoria, IL 61604 | 2013-02-07 |
| 1225373715 | Ngocyen Thi Ngo | Pharmacist | 2515 N Knoxville Avenue, Peoria, IL 61604 | 2012-12-10 |
| 1194027003 | Schelly Chiropractic, Inc | Chiropractor | 1208 W Loucks, Peoria, IL 61604 | 2010-11-29 |
| 1770755852 | Dental Sealants & More | Dentist | 2126 N. University St., Peoria, IL 61604 | 2008-03-28 |
| 1821266123 | David L Krick | Dentist | 2022 N University, Peoria, IL 61604 | 2008-02-20 |
| 1568658409 | Advanced Physicians Health Care, S.c. | Chiropractor | 1200 West Loucks Ave, Peoria, IL 61604 | 2007-09-24 |
| 1902006000 | Noel Liu | Dentist | 3127 N. University St., Unit C, Peoria, IL 61604 | 2007-07-18 |
| 1568586386 | Susan B Bordenave-bishop | Dentist | 2116 N. Sheridan, Peoria, IL 61604 | 2007-03-19 |
| 1174689897 | Paul Anthony Amodeo | Dentist | 3100 N Dries Lane, Suite 301, Peoria, IL 61604 | 2006-12-28 |
| Find all providers in zip 61604 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1144564188 | Melanie Ann Reeves | Clinical Nurse Specialist | 530 Ne Glen Oak Ave Po Box G13, Peoria, IL 61637-0001 | 2012-11-15 |
| 1720694094 | Katelynn M Madden | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2020-09-21 |
| 1730713546 | Kim M Scott | Clinical Nurse Specialist | 8940 N Wood Sage Rd, Peoria, IL 61615-7822 | 2020-03-02 |
| 1063936573 | Cheryl Herrmann | Clinical Nurse Specialist | 112 Ne Crescent Ave, Peoria, IL 61606-1901 | 2017-07-27 |
| 1477903797 | Lindsey Swischuk | Clinical Nurse Specialist | 114 W Stratford Dr, Peoria, IL 61614-7301 | 2016-06-17 |
| 1407259559 | Carissa Gorham | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2014-10-03 |
| 1184026940 | Emily Mckenna | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2014-09-23 |
| 1295141471 | Kara Lynn Marino | Clinical Nurse Specialist | 900 Main St Ste 100, Peoria, IL 61602-5003 | 2014-07-08 |
| 1841638855 | Sharon Marie Damron | Clinical Nurse Specialist | 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2013-06-12 |
| Find all providers in PEORIA | ||||
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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.