MELISSA N THOLE (NPI# 1528602331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528602331 |
| Entity Type | Individual |
| Full Name | MELISSA N THOLE |
| Credential | FNP |
| Practice Address |
4941 Benchmark Centre Dr Ste 100 Swansea IL 62226-2038 |
| Practice Telephone | 6186249970 |
| Mailing Telephone | 6186249970 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209019251 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Eleven S Ste 4g, Columbia, IL 622361080 | 6186249970 | 6177192603 |
| Street Address |
4941 BENCHMARK CENTRE DR STE 100 |
| City | SWANSEA |
| State | IL |
| Zip Code | 62226-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841858529 | Katherine R Conkling | Nurse Practitioner | 4941 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2038 | 2019-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336603364 | Kari Anne Simmons | Nurse Practitioner | 445 Sardis Church Rd, Swansea, SC 29160-8457 | 2019-01-23 |
| 1841714045 | Monica Ann Rothwell | Nurse Practitioner | 2340 Gar Hwy, Swansea, MA 02777-3907 | 2017-07-28 |
| 1851840722 | Ashley Brooke Tetreault | Nurse Practitioner | 2340 Grand Army Hwy, Swansea, MA 02777-3907 | 2016-10-03 |
| 1801078589 | Elizabeth Eileen Seal | Nurse Practitioner | 1031 Cedar Creek Rd, Swansea, SC 29160-9117 | 2007-12-04 |
| 1396380721 | Sydney Jayne Dantzler | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2019-11-08 |
| 1417590720 | Lauren Eck | Nurse Practitioner | 4000 N Illinois Ln, Swansea, IL 62226-1969 | 2019-10-21 |
| 1972145043 | Lindsay Medeiros | Nurse Practitioner | 440 Swansea Mall Dr, Swansea, MA 02777-4114 | 2019-10-10 |
| 1386298024 | Monica S Sires | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2019-07-31 |
| 1053897645 | Amanda Rae Johnson | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2018-07-17 |
| 1487154894 | Whitney M Mullen | Nurse Practitioner | 935 W 2nd St, Swansea, SC 29160-8665 | 2018-02-13 |
| Find all providers in SWANSEA | ||||
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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.