CARLY MICHELLE MELANCON (NPI# 1518519610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518519610 |
| Entity Type | Individual |
| Full Name | CARLY MICHELLE MELANCON |
| Credential | MSN, APRN, PMHNP-BC |
| Practice Address |
2410 E Riverside Dr Ste G3 Austin TX 78741-3053 |
| Mailing Address |
6505 Hickman Ave Austin TX 78723-1922 |
| Practice Telephone | 5124724357 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP142178 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2410 E RIVERSIDE DR STE G3 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78741-3053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861555195 | Edith Jenissa Oliveras | Pediatrics | 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 | 2006-12-18 |
| 1356803589 | Nhumai Thi Nguyen | Nurse Practitioner | 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 | 2019-04-05 |
| 1942765870 | Jamie Wehrenberg | Counselor | 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 | 2019-02-05 |
| 1578048369 | Colleen Meaghan Maher | Social Worker | 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 | 2018-09-27 |
| 1659854503 | Maria D Jackson | Counselor | 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 | 2018-09-06 |
| 1730661737 | Jade Austin | Counselor | 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 | 2018-09-05 |
| 1548754286 | Sara Hall | Social Worker | 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 | 2018-06-17 |
| 1801305230 | Rachel Shook | Social Worker | 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 | 2017-09-28 |
| 1801314992 | Rachel Lauren Jacobs | Social Worker | 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 | 2017-09-08 |
| 1295252070 | Violetta Aranda | Counselor | 2410 E Riverside Dr Ste G3, Austin, TX 78741-3053 | 2017-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305173 | Enamel Dentistry Riverside, Pllc | Clinic/Center | 2435 East Riverside Drive, Suite 105, Austin, TX 78741 | 2020-08-03 |
| 1093369712 | The Tooth Inc. | Clinic/Center | 1700 E. Oltorf St, Suite 100, Austin, TX 78741 | 2019-07-31 |
| 1942702402 | Lani Kay Hartnett | Social Worker | 2410 E. Riverside Dr. Ste. G3, Austin, TX 78741 | 2018-03-01 |
| 1164946000 | Afiya Tamkeen | Dentist | 4410 East Riverside Dr., Austin, TX 78741 | 2017-08-02 |
| 1487174603 | Keila Luna | Speech-Language Pathologist | 2410 East Riverside Dr, Suite B-1, Austin, TX 78741 | 2017-06-20 |
| 1033640859 | Anastacia Erebia | Licensed Vocational Nurse | 6600 E. Ben White Blvd, Austin, TX 78741 | 2017-03-23 |
| 1376084756 | Stephanie Marie Haywood | Social Worker | 6600 E Ben White Herman Center, Austin, TX 78741 | 2017-03-17 |
| 1811437700 | Happiness Onyinyechi Nwadike | Registered Nurse | 6600 E. Ben White Herman Center, Austin, TX 78741 | 2017-02-27 |
| 1811436975 | Jennifer Salas | Licensed Practical Nurse | 6600 E. Ben White, Austin, TX 78741 | 2017-02-21 |
| 1235681008 | Amber Taylor | Occupational Therapy Assistant | 2410 E. Riverside, Suite B-1, Austin, TX 78741 | 2016-10-27 |
| Find all providers in zip 78741 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1609494251 | Nandita Sarkar | Nurse Practitioner | 12804 Partridge Bend Dr, Austin, TX 78729-7385 | 2020-07-09 |
| 1295360477 | Linda Dawn Dao | Nurse Practitioner | 1715 S Capital of Texas Hwy Ste 205, Austin, TX 78746-6561 | 2020-03-07 |
| 1518591460 | Mynd Works Psychiatry, Pllc | Nurse Practitioner | 3724 Jefferson St Ste 206, Austin, TX 78731-6221 | 2020-03-01 |
| 1447726377 | Alysse Rochelle Craft | Nurse Practitioner | 5339 N Interstate 35 Ste 100, Austin, TX 78723-2558 | 2018-10-18 |
| 1033691746 | Malcolm Duncan | Nurse Practitioner | 7005 Mira Loma Ln Ste 101, Austin, TX 78723-1411 | 2018-08-30 |
| 1003396391 | Kimberly Bridzeke Staton | Nurse Practitioner | 1201 E 7th St Ste 620, Austin, TX 78702-3222 | 2018-08-16 |
| 1598201972 | Jeffrey Wright Bayless | Nurse Practitioner | 4600 Monterey Oaks Blvd, Apt 2211, Austin, TX 78749-4300 | 2017-01-10 |
| 1316491368 | Ryann Rathbone | Nurse Practitioner | 1600 W 38th St Ste 318, Austin, TX 78731-6406 | 2016-08-08 |
| Find all providers in AUSTIN | ||||
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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.